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NPI Code Detail

MEDICARE: MS. MARY JO CATES RPH

MEDICARE:  MS. MARY JO  CATES  RPH
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
1183500000XPharmacist144128-1701UT

General Provider Information

NPI Number : 1801807078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY JO CATES RPH
Provider Business Mailing Address
First Line : 7495 S STATE ST
Second Line :
City : MIDVALE
State : UT
Zip : 84047-2013
Country : US
Telephone Number : 801-213-8840
Fax Number :
Provider Business Practice Location Address
First Line : 7495 S STATE ST
Second Line :
City : MIDVALE
State : UT
Zip : 84047-2013
Country : US
Telephone Number : 801-213-8840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 08/01/2016

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Directions to “ MS. MARY JO CATES RPH” Practice Location

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