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NPI 1609734243 · live from the CMS NPI Registry

Confederated Tribes Of The Goshute Reservation

Pharmacy, Clinic Pharmacy in Salt Lake City, UT. National Provider Identifier 1609734243, active.

NPI record

NPI1609734243 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Clinic Pharmacy 3336C0002X
Practice location1882 W Indiana Ave Ste 30, Salt Lake City, UT 84104
Practice phone801-359-2256
EnumeratedJanuary 13, 2026
Last updatedJanuary 13, 2026
Authorized officialJosh Anderson, Operations Officer
Other namesSacred Circle Healthcare

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Clinic Pharmacy primary3336C0002X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.