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Organization
SPENCE'S PRESCRIPTION PHARMACY INC
Active
Organization
SPENCE'S PRESCRIPTION PHARMACY INC
Active
Other names
Spence's North Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED STAKEBAKE CPHT (CFO)
(435) 753-8500
Entity
Organization
Contact information
Practice address
550 E 1400 N, LOGAN, UT 84341-2406
(435) 753-8500
(435) 753-3040
Mailing address
550 E 1400 N, LOGAN, UT 84341-2406
(435) 753-8500
(435) 753-3040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1259851703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870343085009
—
UT
Enumeration date
07/08/2006
Last updated
12/08/2022
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