NPI 1811437569 · live from the CMS NPI Registry
Allergy Butler, LLC
Pharmacy, Community/Retail Pharmacy in Midvale, UT. National Provider Identifier 1811437569, active.
NPI record
| NPI | 1811437569 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 623 E Fort Union Blvd, Ste 102, Midvale, UT 84047 |
| Practice phone | 801-652-7666 |
| Mailing address | 10701 S Ozarks Dr, South Jordan, UT 84009 |
| Enumerated | February 28, 2017 |
| Last updated | February 28, 2017 |
| Authorized official | Edward Loomis, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 10267872-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.