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Diversified Professional Company — NPI 1487736161, Ogden, UT | NPI Central

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OrganizationActive

Diversified Professional Company

NPI 1487736161 · Compounding Pharmacy · Ogden, UT

Provider details

NPI number: 1487736161
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Authorized official: Gary Bailey, President

Practice location

1159 E 12th Street

Ogden, UT 84404-5144

Phone: (801) 334-3190

Fax: (801) 334-3193

More UT providers

Mailing address

1159 E 12th Street

Ogden, UT 84404-5144

Registry dates

Enumerated: 2006-10-20
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.