Healthcare Provider Details

I. General information

NPI: 1801707070
Provider Name (Legal Business Name): JENNIFER LYNN BISHOP PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E 3900 S
MILLCREEK UT
84124-1300
US

IV. Provider business mailing address

8851 S ALTA CANYON DR
SANDY UT
84093-1958
US

V. Phone/Fax

Practice location:
  • Phone: 801-268-7019
  • Fax:
Mailing address:
  • Phone: 801-244-2489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6729870-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: