MEDICARE: DR. HALEN LEAH FARMER PHARMD

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	183500000X	Pharmacist	10964769-1701	UT

General Provider Information

NPI Number	:	1952279341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALEN LEAH FARMER PHARMD

Provider Business Mailing Address
First Line	:	2282 W 9305 S
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-6401
Country	:	US
Telephone Number	:	385-222-8863
Fax Number	:

Provider Business Practice Location Address
First Line	:	11278 S JORDAN GTWY
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-4111
Country	:	US
Telephone Number	:	801-545-9815
Fax Number	:

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

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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