IndividualActive
Roger Pedersen, PHARMD
NPI 1649794496 · Pharmacotherapy Pharmacist · Hill Afb, UT
Provider details
- NPI number
- 1649794496
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 292286-1701 (UT)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
7321 Balmer St
Hill Afb, UT 84056-5012
Phone: (801) 777-0419
Approximate (ZIP-level) locationGet directions
Mailing address
341 Boulevard
Logan, UT 84321-4722
Registry dates
- Enumerated
- 2017-08-02
- Last updated
- 2017-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.