Organization · Type 2 NPI

Confederated Tribes of the Goshute Reservation

Clinic Pharmacy · Salt Lake City, UT

NPI number 1609734243 Active

Practice location

1882 W Indiana Ave Ste 30
Salt Lake City, UT 84104-3688

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.

Other clinic pharmacy providers in Salt Lake City

See all in Salt Lake City →

About NPI 1609734243

Confederated Tribes of the Goshute Reservation's National Provider Identifier is 1609734243, issued on Jan 13, 2026. 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 Jan 13, 2026.