IndividualActive
Matthew Jolley, PHARMD
NPI 1639803406 · Ambulatory Care Pharmacist · Salt Lake City, UT
Provider details
- NPI number
- 1639803406
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12322305-1703 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Suppliers
Practice location
1676 E 1300 S
Salt Lake City, UT 84105-1704
Phone: (801) 582-1999
Fax: (801) 582-1270
Approximate (ZIP-level) locationGet directions
Mailing address
1676 E 1300 S
Salt Lake City, UT 84105-1704
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2022-07-27
- Certified
- 2022-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.