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Organization
HOLLADAY PHARMACEUTICAL LLC
Active
Organization
HOLLADAY PHARMACEUTICAL LLC
Active
Other names
Orem Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY JO GUSTAFSON (MANAGER)
(801) 756-4021
Entity
Organization
Contact information
Practice address
406 N STATE ST, OREM, UT 84057-3802
(801) 434-7670
(801) 434-7669
Mailing address
76 N 1100 E, AMERICAN FORK, UT 84003-2952
(801) 434-7670
(801) 434-7669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
7686605-1703
UT
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881915957
—
UT
01
—
2125523
PK
—
Enumeration date
06/11/2010
Last updated
05/15/2026
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