Uintah Basin Medical Center Outpatient Pharmacy

NPI 1417022864 - Pharmacy - 3336C0002X

NPI Details
NPI 1417022864
Enumeration Date 11/21/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRADLEY D. BRADLEY
Position CEO
Phone (435) 722-6123
Fax
Practice Location
250 W 300 N
(75-2)
ROOSEVELT UT, 84066-2336, US
Phone (435) 722-6123
Fax
Business Location
250 W 300 N
(75-2)
ROOSEVELT UT, 84066-2336, US
Phone (435) 722-6123
Fax
Toxanomy
Taxonomy Code 3336C0002X
License State Utah
License Number 4788706-1703
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According to our database, Uintah Basin Medical Center Outpatient Pharmacy NPI is 1417022864, taxonomy code is 3336C0002X and license number is 4788706-1703, license state is located at Utah. Uintah Basin Medical Center Outpatient Pharmacy physically located at 250 W 300 N, Roosevelt UT, 84066-2336. NPI Number 1033115704 has the healthcare provider type.

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1417022864 NPI number is provided on an as is basis without warranty of any kind. 1417022864 is maintained by the National Plan & Provider Enumeration System. The contents of Uintah Basin Medical Center Outpatient Pharmacy are for informational purposes only.