# SOUTH VALLEY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750564514
- **Authorized official:** LARRY DURRANT (PRESIDENT)
- **Authorized official phone:** (435) 563-6262

## Contact information

- **Practice address:** 1652 S HIGHWAY 165, PROVIDENCE, UT 84332-6701
- **Practice address phone:** (801) 703-0494
- **Mailing address:** 1652 S HIGHWAY 165, PROVIDENCE, UT 84332-6701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2007
- **Last updated:** 12/14/2007