Mr Leo Dean Jolley, RPH - Pharmacist in Salt Lake City, UT

Mr Leo Dean Jolley, RPH is a Pharmacist - Ambulatory Care based in Salt Lake City, Utah. Mr Leo Dean Jolley is licensed to practice in Utah (license number 145642-1701) and his current practice location is 1702 S 1100 E, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 484-4393.

NPI number for Mr Leo Dean Jolley is 1073247268 and his current mailing address is 1702 S 1100 E, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073247268.

Contact Information

Mr Leo Dean Jolley, RPH
1702 S 1100 E,
Salt Lake City, UT 84105-3424
(801) 484-4393
(801) 484-8677

Map and Direction


Healthcare Provider's Profile

Full NameMr Leo Dean Jolley
GenderMale
SpecialityPharmacist - Ambulatory Care
Location1702 S 1100 E, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073247268
  • Provider Enumeration Date: 07/13/2022
  • Last Update Date: 07/13/2022

Medical Identifiers

Medical identifiers for Mr Leo Dean Jolley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073247268NPI-NPPES
145642-1701OtherUTUTAH PHARMACIST LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P2201XPharmacist - Ambulatory Care 145642-1701 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Leo Dean Jolley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Leo Dean Jolley, RPH
1702 S 1100 E,
Salt Lake City, UT 84105-3424

Ph: (801) 484-4393
Mr Leo Dean Jolley, RPH
1702 S 1100 E,
Salt Lake City, UT 84105-3424

Ph: (801) 484-4393

Reviews and Comments


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