Healthcare Provider Details

I. General information

NPI: 1437711918
Provider Name (Legal Business Name): HILLARY HANSEN PARKIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 N MEDICAL DR
SALT LAKE CITY UT
84112-1100
US

IV. Provider business mailing address

1243 UNIVERSITY VLG
SALT LAKE CITY UT
84108-3509
US

V. Phone/Fax

Practice location:
  • Phone: 801-587-3422
  • Fax:
Mailing address:
  • Phone: 801-369-7343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9366974-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: