Healthcare Provider Details

I. General information

NPI: 1346325271
Provider Name (Legal Business Name): ROBERT AL NAHOOPII PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 FASHION BLVD SUITE #175
MURRAY UT
84107-6159
US

IV. Provider business mailing address

4595 RED SAGE COURT
SALT LAKE CITY UT
84107
US

V. Phone/Fax

Practice location:
  • Phone: 801-314-4544
  • Fax:
Mailing address:
  • Phone: 801-440-3030
  • Fax: 801-442-3133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4736087-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: