# UTAH STATE DEVELOPMENTAL CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164435129
- **Authorized official:** MR. FRANK WHITNEY RP (PHARMACY DIRECTOR)
- **Authorized official phone:** (801) 763-4160

## Contact information

- **Practice address:** 895 N 900 E, AMERICAN FORK, UT 84003-9183
- **Practice address phone:** (801) 763-4036
- **Practice address fax:** (801) 763-4073
- **Mailing address:** 895 N 900 E, AMERICAN FORK, UT 84003-9183
- **Mailing address phone:** (801) 763-4036
- **Mailing address fax:** (801) 763-4073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 122434-1704 | UT | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 08/22/2020