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

JEREMY PACK

Active Sole Proprietor

JEREMY PACK is a Infusion Therapy Clinic healthcare provider located in HOLLADAY, Utah. NPI 1912632175 is currently active in the NPPES registry. Verify at CMS.

Infusion Therapy Clinic · HOLLADAY, UT

Registration Details

NPI Number
1912632175
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2022 (4.0890892142468 yrs)
Last Updated
Jul 21, 2022
Sole Proprietor
Yes

Practice Information

Address
6233 S HIGHLAND DR
HOLLADAY, UT, 841212125
Browse UT providers · Browse ZIP 84121
Phone
8015203976
Primary Specialty
Infusion Therapy Clinic
261QI0500X
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.