Organization · Type 2 NPI

Urban Indian Center of Salt Lake

Clinic Pharmacy · Salt Lake City, UT

NPI number 1073478855 Active

Practice location

5450 S Green St Ste A
Salt Lake City, UT 84123-5632

Mailing address

120 W 1300 S
Salt Lake City, UT 84115-5230

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002XNone listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

3 other providers at this address

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About NPI 1073478855

Urban Indian Center of Salt Lake's National Provider Identifier is 1073478855, issued on Dec 23, 2025. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 23, 2025.