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Organization
OAK HILLS PHARMACY LLC
Active
Organization
OAK HILLS PHARMACY LLC
Active
Other names
Oak Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CHAMBERLAIN (RPH / OWNER)
(801) 560-7095
Entity
Organization
Contact information
Practice address
1750 N WYMOUNT TERRACE DR, PROVO, UT 84602-7600
(801) 422-5171
(801) 422-0812
Mailing address
1750 N WYMOUNT TERRACE DR, PROVO, UT 84602-7600
(801) 422-5171
(801) 422-0812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
10752535-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177305
PK
—
Enumeration date
05/12/2018
Last updated
08/26/2023
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