Healthcare Provider Details

I. General information

NPI: 1174664999
Provider Name (Legal Business Name): BARBARA JOYCE OLCHEK R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR A50
SLC UT
84132-0001
US

IV. Provider business mailing address

1763 PAULISTA WAY
SANDY UT
84093-6847
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2276
  • Fax: 801-585-2306
Mailing address:
  • Phone: 801-581-2276
  • Fax: 801-585-2306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number333999-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: