Healthcare Provider Details

I. General information

NPI: 1073470381
Provider Name (Legal Business Name): RACHEL FAGERGREN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL BARBARA STALLINGS PHARMD

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 S COTTONWOOD ST
MURRAY UT
84107-5701
US

IV. Provider business mailing address

1627 E 3350 S
SALT LAKE CITY UT
84106-3333
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-7000
  • Fax:
Mailing address:
  • Phone: 801-450-5173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8628702-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: