MEDICARE: ERICA MARINI

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	8672900-1701	UT

General Provider Information

NPI Number	:	1689519639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MARINI

Provider Business Mailing Address
First Line	:	2985 CAVE HOLLOW WAY
Second Line	:
City	:	BOUNTIFUL
State	:	UT
Zip	:	84010-1236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	729 S ARAPEEN DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1218
Country	:	US
Telephone Number	:	801-587-8117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ ERICA MARINI ” Practice Location

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