# PAIUTE INDIAN TRIBE OF UTAH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAIUTE INDIAN TRIBE OF UTAH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467396523
- **Legal business name:** PAIUTE INDIAN TRIBE OF UTAH
- **Authorized official:** TYLER PRISBREY (CEO)
- **Authorized official phone:** (435) 586-1112

## Contact information

- **Practice address:** 376 N PAIUTE DR, CEDAR CITY, UT 84721-6181
- **Practice address phone:** (435) 867-1521
- **Mailing address:** 440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
- **Mailing address phone:** (435) 586-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2026
- **Last updated:** 04/17/2026