NPI 1003457714

Nicole Hendriksen, PHARMD

Practitioner Pharmacist West Jordan, UT

Practice location

Address: 5710 W 7800 S, West Jordan, UT 84081-5400
Phone: (801) 545-3480
Mailing address: 4411 W Angle Pond Dr, South Jordan, UT 84009-7712

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5827721-1701 (UT)

Other Pharmacist providers in Utah →

Registry record

NPI: 1003457714
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2019
Record last updated: 3 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.