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Organization
LARRYS SMITHFIELD PHARMACY INC
Active
Organization
LARRYS SMITHFIELD PHARMACY INC
Active
Other names
LARRYS SMITHFIELD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DURRANT (OWNER PHARMACIST)
(435) 563-6262
Entity
Organization
Contact information
Practice address
502 S MAIN ST STE B, SMITHFIELD, UT 84335-2314
(435) 563-6262
(435) 563-5277
Mailing address
502 S MAIN ST STE B, SMITHFIELD, UT 84335-2314
(435) 563-6262
(435) 563-5277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
2774337-1703
UT
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100693
PK
—
05
—
870642231001
—
UT
Enumeration date
07/22/2006
Last updated
09/15/2023
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