NPI 1104987312 · live from the CMS NPI Registry
Depot Drug
Pharmacy, Mail Order Pharmacy in Salt Lake City, UT. National Provider Identifier 1104987312, active.
NPI record
| NPI | 1104987312 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Mail Order Pharmacy 3336M0002X |
| Practice location | 1040 N 2200 W Ste 200, Salt Lake City, UT 84116 |
| Practice phone | 800-331-6353 |
| Enumerated | December 12, 2006 |
| Last updated | March 8, 2017 |
| Authorized official | Curtis Hughes, Director Of Pharmacy |
| Other names | Depot Drug |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Mail Order Pharmacy primary | 3336M0002X | 66418181704 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.