# MT NEBO THRIFT CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MT NEBO PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649697244
- **Authorized official:** HAROLD MEASOM (RX SUPERVISOR)
- **Authorized official phone:** (801) 465-2347

## Contact information

- **Practice address:** 965 N MAIN ST, NEPHI, UT 84648
- **Practice address phone:** (435) 623-2183
- **Practice address fax:** (435) 623-4237
- **Mailing address:** 965 N MAIN ST, NEPHI, UT 84648-1003
- **Mailing address phone:** (435) 623-2183
- **Mailing address fax:** (435) 623-4237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8963467-1703 | UT | Yes |

## Other

- **Enumeration date:** 03/21/2014
- **Last updated:** 06/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1649697244 | — | UT |
| 01 | — | 2145208 | PK | — |