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Organization
AMERICAN FORK HOSPITAL
Active
Organization
AMERICAN FORK HOSPITAL
Active
Other names
American Fork Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HIGLEY (DIRECTOR OF PHARMACY)
(801) 855-3585
Entity
Organization
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 855-3585
Mailing address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 855-3585
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
126650-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612366
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/22/2012
Last updated
10/22/2012
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