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Organization
PRECISION MEDICAL PHARMACY, LLC
Active
Organization
PRECISION MEDICAL PHARMACY, LLC
Active
Other names
Westlake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY E. BROWN RPH (OWNER/MANAGER)
(801) 221-9355
Entity
Organization
Contact information
Practice address
270 E CROSSROADS BLVD, SARATOGA SPRINGS, UT 84045-2966
(801) 221-9355
(801) 221-3706
Mailing address
270 E CROSSROADS BLVD, SARATOGA SPRINGS, UT 84045-2966
(801) 221-9355
(801) 221-3706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8615548-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139979
PK
—
01
—
4611910
NCPDP
—
Enumeration date
06/15/2010
Last updated
07/14/2022
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