Provider Demographics
NPI:1578735668
Name:PAULLET, DONALD CHRISTOPHER (RPH)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CHRISTOPHER
Last Name:PAULLET
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1152 W 2240 S
Mailing Address - Street 2:SUITE E
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-7236
Mailing Address - Country:US
Mailing Address - Phone:801-485-3344
Mailing Address - Fax:
Practice Address - Street 1:1152 W 2240 S
Practice Address - Street 2:SUITE E
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-7236
Practice Address - Country:US
Practice Address - Phone:801-485-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT291021-1701183500000X, 1835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear
No183500000XPharmacy Service ProvidersPharmacist