Individual provider · Type 1 NPI

Jacob Luis Goudy, PharmD

Pharmacist · North Salt Lake, UT

NPI number 1790379915 Active

Practice location

669 W 900 N
North Salt Lake, UT 84054-2602

Call (888) 222-2956 Map

Mailing address

120 N Village Way
Fruit Heights, UT 84037-2178

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	6661108-1701 (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 1790379915

Jacob Luis Goudy, PharmD's National Provider Identifier is 1790379915, issued on Feb 28, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in North Salt Lake, UT. The record was last updated on Feb 28, 2021.