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Organization
LION PRIDE PHARMACY AND WELLNESS
Active
Organization
LION PRIDE PHARMACY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH KEALOHA HARWARD PHARMD (MEMBER/ PHARMAIST IN CHARGE)
(435) 628-2066
Entity
Organization
Contact information
Practice address
163 W 1600 S STE 3, SAINT GEORGE, UT 84770-6715
(435) 628-2066
(435) 623-2887
Mailing address
163 W 1600 S STE 3, SAINT GEORGE, UT 84770-6715
(435) 628-2066
(435) 623-2887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
335G00000X
Medical Foods Supplier
—
NULL
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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