IndividualActive
Keyhan Koohgivi, RPH
NPI 1235449984 · Geriatric Pharmacist · Salt Lake City, UT
Provider details
- NPI number
- 1235449984
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 131944-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2566 East Sage Way
Salt Lake City, UT 84109
Phone: (801) 557-3889
Approximate (ZIP-level) locationGet directions
Mailing address
2566 East Sage Way
Salt Lake City, UT 84109
Registry dates
- Enumerated
- 2010-10-15
- Last updated
- 2010-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.