MEDICARE: BRET ROBINSON RPH

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
1	183500000X	Pharmacist	5237431-1701	UT

General Provider Information

NPI Number	:	1720689144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRET ROBINSON RPH

Provider Business Mailing Address
First Line	:	1208 S 900 W
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84104-1555
Country	:	US
Telephone Number	:	801-916-4988
Fax Number	:

Provider Business Practice Location Address
First Line	:	11278 S JORDAN GTWY
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-4111
Country	:	US
Telephone Number	:	801-545-9815
Fax Number	:	801-545-9817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

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Directions to “ BRET ROBINSON RPH” Practice Location

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