# SAMUEL I MARSHALL, P,C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Panguitch Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326487182
- **Authorized official:** DR. SAMUEL IAN MARSHALL PHARMD (OWNER)
- **Authorized official phone:** (435) 590-8621

## Contact information

- **Practice address:** 95 E CENTER, PANGUITCH, UT 84759-0068
- **Practice address phone:** (435) 676-2212
- **Practice address fax:** (435) 676-8850
- **Mailing address:** PO BOX 68, PANGUITCH, UT 84759-0068
- **Mailing address phone:** (435) 676-2212
- **Mailing address fax:** (435) 676-8850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8715464-1703 | UT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/14/2013
- **Last updated:** 04/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326487182 | — | UT |