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Organization
CARE FIRST PHARMACY - SOUTH
Active
Organization
CARE FIRST PHARMACY - SOUTH
Active
Other names
CARE FIRST PHARMACY SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MARTIN (EXECUTIVE DIR. OF PHARMACY OPS)
(702) 853-2200
Entity
Organization
Contact information
Practice address
869 E 900 N, AMERICAN FORK, UT 84003-9132
(801) 763-4160
(801) 763-4158
Mailing address
869 E 900 N, AMERICAN FORK, UT 84003
(801) 763-4160
(801) 763-4158
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
7994290-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612087
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2011
Last updated
08/18/2011
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