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Organization
VILLAGE PANTRY #9
Active
Organization
VILLAGE PANTRY #9
Active
Other names
ART CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON RPH (OWNER AND PHARMACIST)
(801) 489-5618
Entity
Organization
Contact information
Practice address
405 S MAIN ST, SPRINGVILLE, UT 84663-2252
(801) 489-5618
(801) 489-0441
Mailing address
405 S MAIN ST, SPRINGVILLE, UT 84663-2252
(801) 489-5618
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1323631703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099740
PK
—
Enumeration date
02/21/2007
Last updated
02/18/2019
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