# MVP PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain View Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679643753
- **Authorized official:** JACOB HORROCKS (OWNER/PIC)
- **Authorized official phone:** (801) 808-1546

## Contact information

- **Practice address:** 425 MEDICAL DR, STE 100, BOUNTIFUL, UT 84010-4945
- **Practice address phone:** (801) 295-3439
- **Practice address fax:** (801) 299-1696
- **Mailing address:** 425 MEDICAL DR, STE 100, BOUNTIFUL, UT 84010-4945
- **Mailing address phone:** (801) 295-3439
- **Mailing address fax:** (801) 299-1696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 9719138-1703 | UT | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 12/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1679643753 | — | WY |
| 01 | — | 2159080 | PK | — |