OrganizationActive
Granger Clinic Pharmacy Inc
NPI 1780695338 · Community/Retail Pharmacy · West Valley City, UT
Provider details
- NPI number
- 1780695338
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Melissa Young, Owner(801) 965-3639
- License
- 61710311703 (UT)
Specialties & taxonomies
Suppliers
Practice location
3725 W 4100 S
West Valley City, UT 84120-5530
Phone: (801) 965-3639
Fax: (801) 965-9641
Approximate (ZIP-level) locationGet directions
Mailing address
3725 W 4100 S
West Valley City, UT 84120-5530
Registry dates
- Enumerated
- 2006-08-10
- 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.