NPI 1790204840 · live from the CMS NPI Registry
Andrew Dennis Batteen, PharmD
Pharmacy, Community/Retail Pharmacy in Holladay, UT. National Provider Identifier 1790204840, active.
NPI record
| NPI | 1790204840 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4714 S Holladay Blvd, Holladay, UT 84117 |
| Practice phone | 801-278-9767 |
| Enumerated | September 10, 2017 |
| Last updated | September 10, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 55036301701 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.