# CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carbon Medical Helper Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649720723
- **Authorized official:** MICHAEL SMITH PHARMD (PHARMACIST)
- **Authorized official phone:** (435) 299-9165

## Contact information

- **Practice address:** 125 S MAIN ST, HELPER, UT 84526-1535
- **Practice address phone:** (435) 299-9165
- **Practice address fax:** (425) 908-0768
- **Mailing address:** 125 S MAIN ST, HELPER, UT 84526-1535
- **Mailing address phone:** (435) 472-3208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10190995-1703 | UT | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 08/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1649720723 | — | UT |
| 01 | — | 2166969 | PK | — |
