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General NPI Number Information
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NPI Number | 1801795224
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Entity Type | Individual
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Provider Name | PAUL CHALLIS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 90 CROSS ST
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City | LAYTON
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State | UT
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Zip | 84041-3066
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Country | US
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Telephone | 385-619-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 2257 S 1350 W
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City | WOODS CROSS
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State | UT
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Zip | 84087-2395
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Country | US
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Telephone | 770-710-9072
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 5575576-1701
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License Number State | UT
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