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NPI Code Detail

MEDICARE: SKYLAR FENTON

MEDICARE: SKYLAR FENTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist7383636-1701UT

General Provider Information

NPI Number : 1588597199
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYLAR FENTON
Provider Business Mailing Address
First Line : 7302 S BINGHAM JUNCTION BLVD
Second Line :
City : MIDVALE
State : UT
Zip : 84047-4870
Country : US
Telephone Number : 801-442-3300
Fax Number :
Provider Business Practice Location Address
First Line : 7302 S BINGHAM JUNCTION BLVD
Second Line :
City : MIDVALE
State : UT
Zip : 84047-4804
Country : US
Telephone Number : 801-442-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ SKYLAR FENTON ” Practice Location

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