Organization · Type 2 NPI
Confederated Tribes of the Goshute Reservation
Clinic Pharmacy · West Valley, UT
NPI number
1790370955
Active
Practice location
3448 S 3200 W
West Valley, UT 84119-2628
Mailing address
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic Pharmacy Primary | 3336C0002X | None 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.
5 other providers at this address
- Andrew Hansen, PA-CPhysician Assistant West Valley City, UT NPI 1831646843
- John B. Dame, MDFamily Medicine Physician West Valley, UT NPI 1922205947
- Kate DoanPharmacist West Valley, UT NPI 1821446691
- Lauren Barnhart, RDHDental Hygienist West Valley, UT NPI 1912638966
- Tanya Peterson, PharmDPharmacist West Valley, UT NPI 1891243119
About NPI 1790370955
Confederated Tribes of the Goshute Reservation's National Provider Identifier is 1790370955, issued on Mar 9, 2021. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in West Valley, UT. The record was last updated on Mar 9, 2021.