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Organization
SNOWBIRD RESORT LLC
Active
Organization
SNOWBIRD RESORT LLC
Active
Other names
Snowbird Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HOGE (RPH, PIC)
(801) 933-2275
Entity
Organization
Contact information
Practice address
9385 S SNOWBIRD CENTER DR, SNOWBIRD, UT 84092-6249
(801) 933-2275
(801) 933-2463
Mailing address
9385 S SNOWBIRD CENTER DR, SNOWBIRD, UT 84092-6249
(801) 933-2275
(801) 933-2463
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
90687691703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147662
PK
—
Enumeration date
12/03/2007
Last updated
08/16/2016
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