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Organization
DRY CREEK PHARMACY LLC
Active
Organization
DRY CREEK PHARMACY LLC
Active
Other names
DRY CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CODY LITTLEFIELD PHARMD (CEO)
(801) 647-5518
Entity
Organization
Contact information
Practice address
3300 N RUNNING CREEK WAY, BLDG G SUITE 100, LEHI, UT 84043-5563
(801) 331-6630
(801) 331-6495
Mailing address
3300 N RUNNING CREEK WAY, BLDG G SUITE 100, LEHI, UT 84043-5563
(801) 331-6630
(801) 331-6495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
6892121-1703
UT
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100976
PK
—
Enumeration date
03/03/2008
Last updated
02/20/2017
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