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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDEM KOFFI AMEVOR

Active Sole Proprietor

Pharmacist · SALT LAKE CITY, UT

Registration Details

NPI Number
1346881851
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2019 (6.5448484174025 yrs)
Last Updated
Oct 5, 2019
License
6432485-1701 (UT)
Sole Proprietor
Yes

Practice Information

Address
3215 S VALLEY ST
SALT LAKE CITY, UT, 841094217
Browse UT providers · Browse ZIP 84109
Phone
8014868477
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SALT LAKE CITY, UT

Name Credential NPI
MR. ANTHONY S DALPIAZ PHARMD 1942203716
LOUIS JOSEPH RIEL PHARMD 1902808157
DR. CHRIS J STOCK PHARM.D. 1669476636
JAISHREE VORON RPH 1710981394
TARECA JOSEPH PHARMD 1528063898
MR. MICHAEL PATRICK KELLY RPH. MBA 1578560892
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.