OrganizationActive
Precision Custom Compounds
NPI 1992399091 · Compounding Pharmacy · Salt Lake City, UT
Provider details
- NPI number
- 1992399091
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Paul Gagliardi, Owner(760) 815-1482
Specialties & taxonomies
Suppliers
Practice location
4624 S Holladay Blvd Ste 3
Salt Lake City, UT 84117-7169
Phone: (760) 815-1482
Approximate (ZIP-level) locationGet directions
Mailing address
4624 S Holladay Blvd Ste 3
Salt Lake City, UT 84117-7169
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.