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Confederated Tribes Of The Goshute Reservation
Clinic Pharmacy in West Valley, Utah
NPI 1790370955

Confederated Tribes Of The Goshute Reservation is a Clinic Pharmacy based in Salt Lake City, UT and is specialized in Clinic Pharmacy. Confederated Tribes Of The Goshute Reservation practices in West Valley, UT. The NPI Number for Confederated Tribes Of The Goshute Reservation is 1790370955 and holds a License No. (Utah).

The current practice location address for Confederated Tribes Of The Goshute Reservation is 3448 S 3200 W, West Valley, UT and can be reached out via phone at 801-359-2256.

Location: 3448 S 3200 W, West Valley, UT, 84111-3846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790370955
Provider Name
Confederated Tribes Of The Goshute Reservation
Credential
Provider Entity Type
Organization
Address
3448 S 3200 W, West Valley, UT, 84111-3846
Phone Number
801-359-2256
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119950086-1704 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3448 S 3200 W
City
West Valley
State
Utah
Zip
84119-2628
Phone Number
801-359-2256
Fax Number
person
Provider Business Mailing Address Details
Address
3448 S 3200 W
City
West Valley
State
Utah
Zip
84119-2628
Phone Number
801-359-2256
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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