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Organization
SBB PHARMACEUTICAL LLC
Active
Organization
SBB PHARMACEUTICAL LLC
Active
Other names
Birch Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON BIRCH (OWNER)
(435) 882-7775
Entity
Organization
Contact information
Practice address
213 E MAIN ST, GRANTSVILLE, UT 84029-9029
(435) 884-9990
(435) 884-6997
Mailing address
4776 AUTUMN CV, ERDA, UT 84074-5548
(435) 884-9990
(435) 884-6997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
7907135-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245536051
—
UT
01
—
2128428
PK
—
Enumeration date
01/27/2011
Last updated
08/24/2023
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