# SAMUEL K. STUCKI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Stucki Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154735785
- **Authorized official:** DR. SAMUEL K STUCKI PHARMD (OWNER)
- **Authorized official phone:** (435) 313-0123

## Contact information

- **Practice address:** 568 W TELEGRAPH ST \# 3, WASHINGTON, UT 84780-1596
- **Practice address phone:** (435) 627-8848
- **Mailing address:** 568 W TELEGRAPH ST \# 3, WASHINGTON, UT 84780-1596
- **Mailing address phone:** (435) 627-8848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 9012398-1703 | UT | — |
| 3336C0003X | Community/Retail Pharmacy | 9012398-1703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | 9012398-1703 | UT | — |
| 335G00000X | Medical Foods Supplier | 9012398-1703 | UT | — |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 08/11/2014