Diabetes Specialty Center
NPI #1033199666 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1033199666
- Entity Type
- Organization
- Organization Name
- Diabetes Specialty Center
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 3744 SECOND STREET
- Address 2
- STE A
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84115
- Phone
- (801) 268-9699
Authorized Official
- Name
- MS. KIM E DOMAN
- Title
- CONTROLLER
- Phone
- (801) 263-5442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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