Utah Cancer Specialists Pc
Non-pharmacy Dispensing Site
3838 S 700 E, Ste 100, Salt Lake City
Utah, 84106-1466
801-270-2253 801-267-5608
Utah Cancer Specialists Pc is a Non-pharmacy Dispensing Site in Salt Lake City, Utah. This organization is also known as sub part of Utah Cancer Specialists Pc. It is located at 3838 S 700 E, Ste 100, Salt Lake City and it's customer support contact number is 801-270-2253. The authorized person of Utah Cancer Specialists Pc is Walter Moyer who is Ceo of the pharmacy and his contact number is 801-262-9494. Active license number of Utah Cancer Specialists Pc is 62476691704 for Non-pharmacy Dispensing Site in Utah. Utah Cancer Specialists Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Utah Cancer Specialists Pc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Utah Cancer Specialists Pc 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: | Utah Cancer Specialists Pc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 3838 S 700 E, Ste 100, Salt Lake City,
Utah, 84106-1466 |
| Phone: | 801-270-2253 |
| Fax: | 801-267-5608 |
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: | Walter Moyer |
| Position: | Ceo |
| Contact Number: | 801-262-9494 |
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: | 1912058942 |
| Parent Organization: | Utah Cancer Specialists Pc |
| NPI Enumeration Date: | 16 Jan, 2007 |
| NPI Last Update On: | 24 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Utah Cancer Specialists Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 62476691704 | Utah | Primary | |
| Nurse Practitioner | | | Secondary | |
| Hematology & Oncology | 5153A | Utah | Secondary | |
| Physician Assistant | | | Secondary | |
| Radiation Oncology | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4610728 | Other | Utah | Ncpdp |
Medicare Enrollment:
Utah Cancer Specialists Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1355254749 | O20100930044156 | Utah Cancer Specialists Pc | DME SUPPLIER - PHYSICIAN - GENERAL SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10808 S River Front Pkwy Ste 400,
South Jordan, Utah |
| Zip: | 84095-5761 |
| Phone Number: | 801-262-9494 |
| Fax Number: | 801-266-2074 |
Patients can reach Utah Cancer Specialists Pc at
3838 S 700 E, Ste 100, Salt Lake City, Utah or can
call on customer care at 801-270-2253.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.