Healthcare Provider Details

I. General information

NPI: 1730822156
Provider Name (Legal Business Name): IRYNA SAYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 S CANDLEWOOD DR
SANDY UT
84092-3217
US

IV. Provider business mailing address

2332 E 21ST S
SLC UT
84109-1319
US

V. Phone/Fax

Practice location:
  • Phone: 801-673-6245
  • Fax:
Mailing address:
  • Phone: 801-466-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number63746632-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: