Individual provider · Type 1 NPI

Jack Owen Corey

Pharmacist · Salt Lake City, UT

NPI number 1245083450 Active

Practice location

500 Foothill Blvd
Salt Lake City, UT 84148-0002

Call (801) 582-1565 Map

Mailing address

500 Foothill Dr.
Salt Lake City, UT 84148-0002

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS0262982 (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 1245083450

Jack Owen Corey's National Provider Identifier is 1245083450, issued on Apr 8, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 14, 2025.