# UTAH NAVAJO HEALTH SYSTEM INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538496153
- **Authorized official:** CHAD MOSES PHARMD (PHARMACY DIRECTOR)
- **Authorized official phone:** (435) 678-4640

## Contact information

- **Practice address:** 30 WEST MEDICAL DRIVE, MONUMENT VALLEY, UT 84536
- **Practice address phone:** (435) 727-3018
- **Practice address fax:** (435) 727-3082
- **Mailing address:** 30 WEST MEDICAL DRIVE, MONUMENT VALLEY, UT 84536
- **Mailing address phone:** (435) 727-3018
- **Mailing address fax:** (435) 727-3082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10646843-1703 | UT | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 05/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1538496153 | — | UT |
| 01 | — | 2122751 | PK | — |
| 05 | — | 655047 | — | AZ |
