Healthcare Provider Details

I. General information

NPI: 1972087328
Provider Name (Legal Business Name): REZA SALMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 E 7800 S
SALT LAKE CITY UT
84121-5803
US

IV. Provider business mailing address

3470 E 7800 S
SALT LAKE CITY UT
84121-5803
US

V. Phone/Fax

Practice location:
  • Phone: 801-943-0177
  • Fax: 801-944-1253
Mailing address:
  • Phone: 801-943-0177
  • Fax: 801-944-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number2694811701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: