Precision Custom Compounds

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PRECISION CUSTOM COMPOUNDS

Practice address

4624 S Holladay Blvd Ste 3
Salt Lake City, UT 84117-7169

Phone

(760) 815-1482

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Michael Gagliardi

Title

Owner

Phone

(760) 815-1482

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1992399091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 3",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177169",
            "telephone_number": "760-815-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD STE 3",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177169",
            "telephone_number": "760-815-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CUSTOM COMPOUNDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-815-1482"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Precision Diagnostic Services, Inc.
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• Precision Health Services, Inc. (Precision Home Medical)

• Compounding Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Compounding Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.