Healthcare Provider Details

I. General information

NPI: 1154251809
Provider Name (Legal Business Name): COURTNEY ANNE PURSELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY ANNE URZEN PHARMD

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

3189 E CREEK RD
COTTONWOOD HEIGHTS UT
84121-5728
US

V. Phone/Fax

Practice location:
  • Phone: 708-267-7220
  • Fax:
Mailing address:
  • Phone: 708-267-7220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14187354-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: