Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark C Koelliker

Individual provider Pharmacist · NPI 1922642198

Mark C Koelliker is a Pharmacist in Midvale, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2019
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Practice location Address checks out

980 E Fort Union Blvd
Midvale, UT 84047-1714
Phone: (801) 256-0532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 144234-1701 (UT)

Record details

NPI number1922642198
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 31, 2019
Last updated in NPPESOctober 31, 2019
Mailing address10309 S Granite Mesa Cir, Sandy, UT 84092-7206

Other providers in Midvale