# CONTINUED CARE LTC PHARMACY UTAH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033853411
- **Authorized official:** BRANDON HAGEN (GENERAL MANAGER)
- **Authorized official phone:** (888) 277-2132

## Contact information

- **Practice address:** 11585 S STATE ST STE 105, DRAPER, UT 84020-7402
- **Practice address phone:** (888) 277-2132
- **Mailing address:** PO BOX 1350, RIVERTON, UT 84065-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2022
- **Last updated:** 04/22/2022