NPI 1528605482 · live from the CMS NPI Registry
Cottonwood Compounding PLLC
Pharmacy, Compounding Pharmacy in Cottonwood Heights, UT. National Provider Identifier 1528605482, active.
NPI record
| NPI | 1528605482 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 7050 S Highland Dr Ste 110, Cottonwood Heights, UT 84121 |
| Practice phone | 385-279-4268 |
| Enumerated | December 10, 2019 |
| Last updated | March 28, 2022 |
| Authorized official | Kevin Witzenman, Owner/Pic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.