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NPI Code Detail

MEDICARE: CHRISTOPHER JAMES BUCKEL

MEDICARE: CHRISTOPHER JAMES BUCKEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist8294110-1701UT

General Provider Information

NPI Number : 1093358764
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JAMES BUCKEL
Provider Business Mailing Address
First Line : 828 S 900 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-1455
Country : US
Telephone Number : 801-364-2564
Fax Number : 801-363-4633
Provider Business Practice Location Address
First Line : 828 S 900 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-1455
Country : US
Telephone Number : 801-261-8787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 05/20/2026

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Directions to “ CHRISTOPHER JAMES BUCKEL ” Practice Location

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