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UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY NPI 1821286691


NPI Information

NPI: 1821286691
Provider Name: UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY
Classification: Pharmacy - 3336M0002X
Entity Type: Organization

Specialization: Mail Order Pharmacy

CLIA Number: 46D2035976

Address:
1091 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 213-9850
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UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY is a mail order pharmacy pharmacy in South Jordan, UT. The provider is a pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY NPI is 1821286691. The provider is registered as an organization entity type.

The provider's business location address is:

1091 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT
ZIP 84095-820
Phone: (801) 213-9850

The provider's authorized official is Michael Kelly .
The authorized official title is Pharmacy Director and has the following contact phone number (801) 587-6325.

The CLIA number assigned to this NPI record is 46D2035976 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/5/2007 and was last updated on 4/20/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336M0002XPharmacyMail Order Pharmacy5546220-1703UTAHYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========002MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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