MARK C KOELLIKER
NPI 1922642198
Pharmacist in Midvale, UT

Active since October 31, 2019
980 E FORT UNION BLVD, MIDVALE, UT 84047(801) 256-0532 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark C Koelliker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK C KOELLIKER (NPI 1922642198) is an individual pharmacist in Midvale, Utah, licensed in Utah (144234-1701) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1922642198
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMARK C KOELLIKER
Location Address980 E FORT UNION BLVDMidvale, UT 84047-1714
Mailing Address10309 S Granite Mesa CirSandy, UT 84092-7206 · (801) 942-4478
Sole ProprietorYes
Enumeration DateOctober 31, 2019
NPI 1922642198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 144234-1701
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
980 E FORT UNION BLVD, Midvale, UT 84047

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
980 E FORT UNION BLVD
MIDVALE, UT 84047
Pharmacist
980 E FORT UNION BLVD
MIDVALE, UT 84047
Pharmacist
980 E FORT UNION BLVD
MIDVALE, UT 84047
Pharmacist
980 E FORT UNION BLVD
MIDVALE, UT 84047
Pharmacist
980 E FORT UNION BLVD
MIDVALE, UT 84047
Pharmacist
980 E FORT UNION BLVD
MIDVALE, UT 84047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Koelliker's NPI number?

The NPI number for Mark Koelliker is 1922642198. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Where is Mark Koelliker located?

Mark Koelliker practices at 980 E Fort Union Blvd, Midvale, UT 84047. The listed phone number is (801) 256-0532.

What is Mark Koelliker's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Koelliker was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.