IndividualActive
Jeremy Pack
NPI 1912632175 · Infusion Therapy Clinic/Center · Holladay, UT
Provider details
- NPI number
- 1912632175
- Entity type
- Individual
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6233 S Highland Dr
Holladay, UT 84121-2125
Phone: (801) 520-3976
Approximate (ZIP-level) locationGet directions
Mailing address
2573 E 6600 S
Salt Lake City, UT 84121-2349
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2022-07-21
- Certified
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.