Healthcare Provider Details

I. General information

NPI: 1689581217
Provider Name (Legal Business Name): MCKAY HATCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 S STATE ST
MURRAY UT
84107
US

IV. Provider business mailing address

1315 E MAPLEWOOD DR APT B
MURRAY UT
84121-1912
US

V. Phone/Fax

Practice location:
  • Phone: 801-262-5526
  • Fax: 801-262-0125
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10646940-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: