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Organization
UTAH STATE DEVELOPMENTAL CENTER PHARMACY
Active
Organization
UTAH STATE DEVELOPMENTAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK WHITNEY RP (PHARMACY DIRECTOR)
(801) 763-4160
Entity
Organization
Contact information
Practice address
895 N 900 E, AMERICAN FORK, UT 84003-9183
(801) 763-4036
(801) 763-4073
Mailing address
895 N 900 E, AMERICAN FORK, UT 84003-9183
(801) 763-4036
(801) 763-4073
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
122434-1704
UT
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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