Healthcare Provider Details

I. General information

NPI: 1578954285
Provider Name (Legal Business Name): RSP PHARMACEUTICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

493 N MAIN ST
TOOELE UT
84074
US

IV. Provider business mailing address

493 N MAIN ST
TOOELE UT
84074-1654
US

V. Phone/Fax

Practice location:
  • Phone: 495-882-7775
  • Fax: 435-882-7779
Mailing address:
  • Phone: 495-882-7775
  • Fax: 435-882-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. SHELDON B BIRCH
Title or Position: VICE PRESIDENT
Credential: PHARM.D.
Phone: 435-882-7775