# PHIL RICH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LTC OF CACHE VALLEY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114024957
- **Authorized official:** PHILLIP COWLEY RPH (OWNER)
- **Authorized official phone:** (435) 787-1212

## Contact information

- **Practice address:** 2380 N 400 E, E2, NORTH LOGAN, UT 84341-1749
- **Practice address phone:** (435) 787-1212
- **Practice address fax:** (435) 787-1922
- **Mailing address:** 2380 N 400 E, E2, NORTH LOGAN, UT 84341-1749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 61935351704 | UT | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4610627 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 61935351704 | — | UT |