JEREMY PACK
NPI 1912632175
Clinic/Center - Infusion Therapy in Holladay, UT
- Individual
- Male
- Clinic/Center
- Infusion Therapy
About JEREMY PACK
This page provides the complete NPI Profile along with additional information for Jeremy Pack, a provider established in Holladay, Utah with a medical specialization in Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1912632175 assigned on July 2022. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1912632175 Verify this NPI
- Provider Name
- JEREMY PACK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6233 S HIGHLAND DR HOLLADAY, UT 84121
- Location Phone
- (801) 520-3976
- Mailing Address
- 2573 E 6600 S SALT LAKE CITY, UT 84121
- Mailing Phone
- (801) 520-3976
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-21-2022
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Infusion Therapy
- Taxonomy Code
- 261QI0500X
- Type
- Ambulatory Health Care Facilities
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912632175, enumerated as an "individual" on July 21, 2022.
The provider is located at 6233 S HIGHLAND DR HOLLADAY, UT 84121 and the phone number is (801) 520-3976.
Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.
