IndividualActive
Shideh Hafezi, PHARM.D
NPI 1316629884 · Ambulatory Care Pharmacist · Slc, UT
Provider details
- NPI number
- 1316629884
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Female
- Sole proprietor
- No
- License
- 1534831701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
409 W 400 S
Slc, UT 84101-1135
Phone: (801) 333-8628
Approximate (ZIP-level) locationGet directions
Mailing address
409 W 400 S
Slc, UT 84101-1135
Registry dates
- Enumerated
- 2023-08-03
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.