Healthcare Provider Details

I. General information

NPI: 1114654126
Provider Name (Legal Business Name): CHASE DAYBELL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2022
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 W 450 S STE 201
SPRINGVILLE UT
84663-2299
US

IV. Provider business mailing address

863 W 450 S STE 201
SPRINGVILLE UT
84663-2299
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-9441
  • Fax: 801-477-9442
Mailing address:
  • Phone: 801-477-9441
  • Fax: 801-477-9442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9444847-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: