Black Panda LLC
Black Panda LLC is a Pharmacy in Salt Lake City, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2507 S State StSalt Lake City, UT 84115-3109
Phone: (855) 558-2382
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X |
|---|---|
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1518577741 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barbara Deinet — Managing Member · (702) 219-6173 |
| Other names | Aeva Specialty Pharmacy |
| NPI enumerated | August 3, 2020 |
| Last updated in NPPES | August 3, 2020 |
| Certification date | August 3, 2020 |
| Mailing address | 6280 S Valley View Blvd Ste 734, Las Vegas, NV 89118-6833 |
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