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Organization
MVP PHARMACY LLC
Active
Organization
MVP PHARMACY LLC
Active
Other names
Mountain View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HORROCKS (OWNER/PIC)
(801) 808-1546
Entity
Organization
Contact information
Practice address
425 MEDICAL DR, STE 100, BOUNTIFUL, UT 84010-4945
(801) 295-3439
(801) 299-1696
Mailing address
425 MEDICAL DR, STE 100, BOUNTIFUL, UT 84010-4945
(801) 295-3439
(801) 299-1696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9719138-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679643753
—
WY
01
—
2159080
PK
—
Enumeration date
11/08/2006
Last updated
12/23/2022
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