T & R PHARMACEUTICAL LLC NPI 1518046283

NPI Details

T & R PHARMACEUTICAL LLC is a compounding pharmacy pharmacy in Sandy, UT. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. T & R PHARMACEUTICAL LLC NPI is 1518046283. The provider is registered as an organization entity type.
The provider Is Doing Business As Jolleys Sandy Pharmacy.

The provider's business location address is:

9829 S 1300 E
SUITE 100
SANDY, UT
ZIP 84094-000
Phone: (801) 571-0201
Fax: (801) 571-6050

The provider's authorized official is Troy Johansen .
The authorized official title is Manager and has the following contact phone number (801) 571-0201.

The CLIA number assigned to this NPI record is 46D2201487 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 11/3/2006 and was last updated on 11/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.