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

SANDRA OMOTILEWA

Active Sole Proprietor

SANDRA OMOTILEWA is a Pharmacy healthcare provider located in WEST JORDAN, Utah. NPI 1679252670 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · WEST JORDAN, UT

Registration Details

NPI Number
1679252670
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2023 (3.070267939794 yrs)
Last Updated
Jul 17, 2023
License
27595 (NC)
Sole Proprietor
Yes

Practice Information

Address
7463 S WOOD FARMS DR
WEST JORDAN, UT, 840845556
Browse UT providers · Browse ZIP 84084
Phone
5088019127
Primary Specialty
Pharmacy
333600000X
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.