Organization · Type 2 NPI
Confederated Tribes of the Goshute Reservation
Clinic Pharmacy · West Valley City, UT
NPI number
1952158982
Active
Practice location
3535 S Market St Ste 200
West Valley City, UT 84119-3685
Mailing address
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | None listed |
| 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.
Another provider at this address
Other clinic pharmacy providers in West Valley City
About NPI 1952158982
Confederated Tribes of the Goshute Reservation's National Provider Identifier is 1952158982, issued on May 6, 2024. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in West Valley City, UT. The record was last updated on Dec 19, 2024.