South Jordan Pharmacy

LBN: University Of Utah
South Jordan Pharmacy is an health care organization with primary practice located at 5126 W Daybreak Pkwy Room 101, South Jordan UT 84009-5994. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. University Of Utah can be contacted via phone (801) 213-4550, or through Howell, Kellee K via phone (801) 587-6334.

Contact Information

Primary practice address
5126 W Daybreak Pkwy Room 101 South Jordan UT 84009-5994
Phone: (801) 213-4550
Fax: (801) 213-4555
Website:
Map and Directions
Authorized official contact:
Name: Howell, Kellee K CPHT
Phone: (801) 587-6334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 81397451703 Utah

Profile Details

NPI number 1578652160
LBN Legal business name University Of Utah
DBA Doing business as South Jordan Pharmacy
Authorized official Howell, Kellee K CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 16th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578652160 NPPES
Other 4609561 NCPDP
Other 2100755 NCPDP

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