Provider Demographics
NPI:1477216489
Name:HOEHN, DAISY (PHARMD)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:HOEHN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3787 W SUMMER BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-5839
Mailing Address - Country:US
Mailing Address - Phone:775-384-7176
Mailing Address - Fax:
Practice Address - Street 1:4570 S 4000 W
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84120-6232
Practice Address - Country:US
Practice Address - Phone:801-969-1424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-17
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10960919183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist