Individual provider · Type 1 NPI
Jeremy Pack
Infusion Therapy Clinic/Center · Holladay, UT
NPI number
1912632175
Active
Practice location
6233 S Highland Dr
Holladay, UT 84121-2125
Mailing address
2573 E 6600 S
Salt Lake City, UT 84121-2349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Clinic/Center Primary | 261QI0500X | None listed |
Infusion Therapy Clinic/Center: Definition to come...
About NPI 1912632175
Jeremy Pack's National Provider Identifier is 1912632175, issued on Jul 21, 2022. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Holladay, UT. The record was last updated on Jul 21, 2022.