# GUNNISON FAMILY PHARMACY & FLORAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gunnison Family Pharmacy & Floral, Family Pharmacy LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063834760
- **Authorized official:** COURTNEY ADAM HARDY PHARMD (PIC)
- **Authorized official phone:** (435) 528-3455

## Contact information

- **Practice address:** 77 SOUTH MAIN STREET, GUNNINSON, UT 84634
- **Practice address phone:** (435) 528-3455
- **Practice address fax:** (435) 528-3776
- **Mailing address:** PO BOX 789, GUNNISON, UT 84634-0789
- **Mailing address phone:** (435) 528-3455
- **Mailing address fax:** (435) 528-3776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8357604-1703 | UT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/15/2014
- **Last updated:** 04/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2143922 | PK | — |
| 05 | — | 646037165001 | — | UT |