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Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Other names
Carbon Medical Service Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ANDERSON (CREDENTIALING)
(435) 888-4411
Entity
Organization
Contact information
Practice address
331 E HIGHWAY 123, SUNNYSIDE, UT 84539-7725
(435) 888-4411
(435) 888-2270
Mailing address
PO BOX 930, EAST CARBON, UT 84520-0930
(435) 888-4411
(435) 888-2270
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
UT
Enumeration date
04/04/2006
Last updated
08/14/2024
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