Individual provider · Type 1 NPI

Kelly Diesterhaft, PharmD

Pharmacist · Salt Lake City, UT

NPI number 1710254875 Active

Practice location

3730 W 4700 S
Salt Lake City, UT 84129-3457

Call (801) 213-9200 Map

Mailing address

3730 West 4700 South
West Valley City, UT 84118

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X7317273-1701 (UT)

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 1710254875

Kelly Diesterhaft, PharmD's National Provider Identifier is 1710254875, issued on Nov 17, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 17, 2011.