Katelyn Battochio

Individual provider Active NPI Pharmacist · South Jordan, UT

NPI 1285201814 · NPPES record last updated Jun 10, 2021

Key facts

NPI
1285201814
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
7919910 (UT)
Practice address
11502 4000 W
South Jordan, UT 84095
Phone
(801) 446-9995
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7919910UTMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7919910 UT Yes

Addresses

Primary practice location

11502 4000 W
South Jordan, UT 84095

Mailing address

1367 W 1900 S
Woods Cross, UT 84087-2341
Phone (801) 661-6108

Other providers in South Jordan, UT

All providers in South Jordan, UT · Pharmacist in Utah

Sources for this page

Verify at the official NPI Registry.