=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326614686
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SABINA LYNN WAYMENT PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2021
-----------------------------------------------------
Last Update Date | 05/27/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5305 S 1900 W
-----------------------------------------------------
City | ROY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84067-2906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-825-5648
-----------------------------------------------------
Fax | 801-825-5728
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5305 S 1900 W
-----------------------------------------------------
City | ROY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84067-2906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-825-5648
-----------------------------------------------------
Fax | 801-825-5728
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 10098680
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------