Healthcare Provider Details

I. General information

NPI: 1114841897
Provider Name (Legal Business Name): ALEX TSENG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5169 S COTTONWOOD ST STE 520
MURRAY UT
84107-6756
US

IV. Provider business mailing address

5169 S COTTONWOOD ST STE 520
MURRAY UT
84107-6756
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-3500
  • Fax:
Mailing address:
  • Phone: 801-507-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License Number14228830-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: