Tremonton Community Pharmacy Inc

NPI 1063400448 - Pharmacy - 333600000X

NPI Details
NPI 1063400448
Enumeration Date 10/11/2005
Last Updated 07/19/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LARRY BRENT LARRY
Position OWNER PRESIDENT
Phone (435) 257-5249
Fax (435) 257-5481
Practice Location
44 E MAIN ST
TREMONTON UT, 84337-1624, US
Phone (435) 257-5249
Fax (435) 257-5481
Business Location
44 E MAIN ST
TREMONTON UT, 84337-1624, US
Phone (435) 257-5249
Fax (435) 257-5481
Toxanomy
Taxonomy Code 333600000X
License State Utah
License Number 2755121703
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According to our database, Tremonton Community Pharmacy Inc NPI is 1063400448, taxonomy code is 333600000X and license number is 2755121703, license state is located at Utah. Tremonton Community Pharmacy Inc physically located at 44 E Main St, Tremonton UT, 84337-1624. NPI Number 1033115704 has the healthcare provider type.

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1063400448 NPI number is provided on an as is basis without warranty of any kind. 1063400448 is maintained by the National Plan & Provider Enumeration System. The contents of Tremonton Community Pharmacy Inc are for informational purposes only.