# HEALTHWISE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHWISE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790902898
- **Authorized official:** RYAN HICKMAN (PHARMACIST IN CHARGE)
- **Authorized official phone:** (801) 489-7300

## Contact information

- **Practice address:** 724 S 1600 W, MAPLETON, UT 84664-4347
- **Practice address phone:** (801) 489-7300
- **Practice address fax:** (801) 489-4949
- **Mailing address:** 724 S 1600 W, MAPLETON, UT 84664-4347
- **Mailing address phone:** (801) 489-7300
- **Mailing address fax:** (801) 489-4949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 8359105-1704 | UT | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 10/05/2015