Organization · Type 2 NPI

Jolley Comp and Specialty Pham

Community/Retail Pharmacy · Salt Lake City, UT

NPI number 1659445187 Active

Practice location

1702 S 1100 E
Salt Lake City, UT 84105-3424

Fax (801) 484-8677

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	3318751703 (UT)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

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NPI record

NPI: 1659445187
Entity type: Organization (Type 2)
Issued: Nov 17, 2006
Last updated: Sep 29, 2021
Status: Active

Other names

<unavail>
Jolley's Compounding Pharmacy · doing business as
Jolley's Corner Pharmacy #3 · former legal business name

Authorized official

Mr. Dean Jolley, RPH
Owner/pharmasist
(801) 484-4393

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659445187

Jolley Comp and Specialty Pham's National Provider Identifier is 1659445187, issued on Nov 17, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 29, 2021.