MEDICARE: JEREMY PACK

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	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1912632175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY PACK

Provider Business Mailing Address
First Line	:	2573 E 6600 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-2349
Country	:	US
Telephone Number	:	801-520-3976
Fax Number	:

Provider Business Practice Location Address
First Line	:	6233 S HIGHLAND DR
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84121-2125
Country	:	US
Telephone Number	:	801-520-3976
Fax Number	:

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

Provider Enumeration Date	:	07/21/2022
Last Update Date	:	07/21/2022

Similar Medicare Providers

1932401288 — KATHARINE E MCCARTHY P.A.
Practice Location Address:

6211 S HIGHLAND DR # 4124
HOLLADAY, UT
84121-2125

Practice Phone: 585-734-1296
Practice Fax:

1336629930 — ROXANNE SETTAREH RAHIMI LCSW
Practice Location Address:

6211 S HIGHLAND DR # 4122
HOLLADAY, UT
84121-2125

Practice Phone: 435-233-7726
Practice Fax:

1639021447 — RENEWRX
Practice Location Address:

6065 S HIGHLAND DR STE 1
HOLLADAY, UT
84121-1381

Practice Phone: 801-893-6725
Practice Fax:

1386649309 — MS. ADRIENNE C BROWN LM, CPM
Practice Location Address:

6440 S WASATCH BLVD STE 140
HOLLADAY, UT
84121

Practice Phone: 435-633-3626
Practice Fax:

1831161363 — NATHAN G MILLER M.D.
Practice Location Address:

6440 S WASATCH BLVD
HOLLADAY, UT
84121-3511

Practice Phone: 918-786-7780
Practice Fax:

1477599710 — ALBERT CHANDLER PT, CPED
Practice Location Address:

6319 HIGHLAND DR
HOLLADAY, UT
84121-2107

Practice Phone: 801-265-9339
Practice Fax: 801-277-7993

Directions to “ JEREMY PACK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.