Healthcare Provider Details

I. General information

NPI: 1427978667
Provider Name (Legal Business Name): CARRIE DUNFORD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7368 BINGHAM JUNCTION BLVD
MIDVALE UT
84047
US

IV. Provider business mailing address

10117 S CROWN KING CT
SOUTH JORDAN UT
84095-1239
US

V. Phone/Fax

Practice location:
  • Phone: 801-284-1004
  • Fax:
Mailing address:
  • Phone: 801-284-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number333380-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: