Provider Demographics
NPI:1285667873
Name:ORLANDO, PATRICIA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LYNN
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:ORLANDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:30 S 2000 E # 258
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84112-5820
Mailing Address - Country:US
Mailing Address - Phone:801-581-7545
Mailing Address - Fax:801-585-6160
Practice Address - Street 1:500 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84148-0001
Practice Address - Country:US
Practice Address - Phone:801-339-6539
Practice Address - Fax:801-585-6160
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1478801701183500000X
MT3021183500000X
CA40843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist