NPI 1386285294 · live from the CMS NPI Registry
Bryan Christensen
Pharmacy in South Jordan, UT. National Provider Identifier 1386285294, active.
NPI record
| NPI | 1386285294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1634 W South Jordan Pkwy, South Jordan, UT 84095 |
| Practice phone | 801-254-0068 |
| Mailing address | 11548 S Waterside Rd, South Jordan, UT 84095 |
| Enumerated | October 1, 2019 |
| Last updated | October 1, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | 150182-1701 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.