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Organization
MOAB VALLEY HEALTHCARE, INC.
Active
Organization
MOAB VALLEY HEALTHCARE, INC.
Active
Parent organization
MOAB VALLEY HEALTHCARE, INC.
Other names
PORTAL PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOAB VALLEY HEALTHCARE, INC.
Authorized official
ZACH WOJCIESZEK (CFO)
(435) 719-3558
Entity
Organization
Contact information
Practice address
480 W WILLIAMS WAY, MOAB, UT 84532
(435) 719-5555
(435) 719-5556
Mailing address
480 W WILLIAMS WAY, MOAB, UT 84532
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/22/2023
Last updated
12/03/2024
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