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Mark C Koelliker
Pharmacist in Midvale, Utah
NPI 1922642198

Mark C Koelliker is a Pharmacist based in Sandy, UT. Mark C Koelliker practices in Midvale, UT. The NPI Number for Mark C Koelliker is 1922642198 and holds a License No. 144234-1701 (Utah).

The current practice location address for Mark C Koelliker is 980 E Fort Union Blvd, Midvale, UT and can be reached out via phone at 801-256-0532.

Location: 980 E Fort Union Blvd, Midvale, UT, 84092-7206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922642198
Provider Name
Mark C Koelliker
Credential
Provider Entity Type
Individual
Gender
Male
Address
980 E Fort Union Blvd, Midvale, UT, 84092-7206
Phone Number
801-256-0532
Fax Number
Provider Enumeration Date
10/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
980 E Fort Union Blvd
City
Midvale
State
Utah
Zip
84047-1714
Phone Number
801-256-0532
Fax Number
person
Provider Business Mailing Address Details
Address
980 E Fort Union Blvd
City
Midvale
State
Utah
Zip
84047-1714
Phone Number
801-256-0532
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
144234-1701 (Utah)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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