Healthcare Provider Details

I. General information

NPI: 1912818220
Provider Name (Legal Business Name): ELAINE RIPPLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3793 S STATE ST
SOUTH SALT LAKE UT
84115-4828
US

IV. Provider business mailing address

3793 S STATE ST
SOUTH SALT LAKE UT
84115-4828
US

V. Phone/Fax

Practice location:
  • Phone: 385-266-4871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6940723-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: