NPI 1023696481

Ethan Drew Ogomori, PHARMD

Practitioner Pharmacist South Jordan, UT

Practice location

Address: 11525 S Parkway Plaza Dr, South Jordan, UT 84095-5605
Phone: (801) 316-2512
Mailing address: 10448 S Jordan Gtwy Unit 4438, South Jordan, UT 84095-5427

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10493753-1701 (UT)

Other Pharmacist providers in Utah →

Registry record

NPI: 1023696481
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2021
Record last updated: 29 Mar 2021

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.