Healthcare Provider Details

I. General information

NPI: 1548191596
Provider Name (Legal Business Name): CAROLINE HEYREND PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MARIO CAPECCHI DR
SALT LAKE CITY UT
84113-1103
US

IV. Provider business mailing address

7537 SUSANS CIR
PARK CITY UT
84098-8406
US

V. Phone/Fax

Practice location:
  • Phone: 801-243-7354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8089499-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: