NPI 1912887019 · live from the CMS NPI Registry
Gbs Leavitt Rx Advantage
Pharmacy, Specialty Pharmacy in South Salt Lake, UT. National Provider Identifier 1912887019, active.
NPI record
| NPI | 1912887019 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Specialty Pharmacy 3336S0011X |
| Practice location | 2200 S Main St Ste 600, South Salt Lake, UT 84115 |
| Practice phone | 801-819-7745 |
| Enumerated | September 8, 2025 |
| Last updated | September 8, 2025 |
| Authorized official | Joseph Tooley, Vp |
| Other names | Gbs Rx Advantage |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Specialty Pharmacy primary | 3336S0011X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.