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Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Other names
Carbon Medical Helper Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SMITH PHARMD (PHARMACIST)
(435) 299-9165
Entity
Organization
Contact information
Practice address
125 S MAIN ST, HELPER, UT 84526-1535
(435) 299-9165
(425) 908-0768
Mailing address
125 S MAIN ST, HELPER, UT 84526-1535
(435) 472-3208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
10190995-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649720723
—
UT
01
—
2166969
PK
—
Enumeration date
10/12/2016
Last updated
08/12/2024
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