# UTAH NAVAJO HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blanding Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386870822
- **Authorized official:** CHAD MOSES (PHARMACY DIRECTOR)
- **Authorized official phone:** (435) 678-3993

## Contact information

- **Practice address:** 910 S 300 W, BLANDING, UT 84511-8451
- **Practice address phone:** (435) 678-3993
- **Practice address fax:** (435) 678-3992
- **Mailing address:** PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
- **Mailing address phone:** (435) 678-0405
- **Mailing address fax:** (435) 678-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 71650241704 | UT | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 03/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2121050 | PK | — |