Individual provider · Type 1 NPI

Trevor Wayne Boam

Pharmacist · Salt Lake City, UT

NPI number 1013527977 Active

Practice location

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550

Call (888) 949-4864 Map

Mailing address

1646 N Salem Cir
Mesa, AZ 85205-3540

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS025500 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1013527977

Trevor Wayne Boam's National Provider Identifier is 1013527977, issued on Aug 5, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 26, 2021.