Healthcare Provider Details

I. General information

NPI: 1508787979
Provider Name (Legal Business Name): DEVYN MARQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 W 2000 N
LAYTON UT
84041-1632
US

IV. Provider business mailing address

815 W 2000 N
LAYTON UT
84041-1632
US

V. Phone/Fax

Practice location:
  • Phone: 801-773-6478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13548165-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: