Confederated Tribes Of The Goshute Reservation
Clinic Pharmacy
660 S 200 E, Salt Lake City
Utah, 84111-3835
801-359-2256 801-364-4392
Confederated Tribes Of The Goshute Reservation is a Clinic Pharmacy in Salt Lake City, Utah. It is located at 660 S 200 E, Salt Lake City and it's customer support contact number is 801-359-2256. The authorized person of Confederated Tribes Of The Goshute Reservation is Mr. Virgil W Johnson who is Council Chairman of the pharmacy and his contact number is 801-898-4814. Active license number of Confederated Tribes Of The Goshute Reservation is 8547079-1704 for Clinic Pharmacy in Utah.
Confederated Tribes Of The Goshute Reservation is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Confederated Tribes Of The Goshute Reservation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Confederated Tribes Of The Goshute Reservation |
| Type: | Clinic Pharmacy |
| Location: | 660 S 200 E, Salt Lake City,
Utah, 84111-3835 |
| Phone: | 801-359-2256 |
| Fax: | 801-364-4392 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Virgil W Johnson |
| Position: | Council Chairman |
| Contact Number: | 801-898-4814 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1467811562 |
| NPI Enumeration Date: | 17 Feb, 2016 |
| NPI Last Update On: | 17 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Confederated Tribes Of The Goshute Reservation are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 8547079-1704 | Utah | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Hc 61 Box 6104,
Ibapah, Utah |
| Zip: | 84034-6003 |
| Phone Number: | 435-234-1138 |
| Fax Number: | 435-234-1162 |
Patients can reach Confederated Tribes Of The Goshute Reservation at
660 S 200 E, Salt Lake City, Utah or can
call on customer care at 801-359-2256.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.