# ASPEN RIDGE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspen Ridge Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932527124
- **Authorized official:** GARY BARBEN RPH (OWNER - CHIEF PHARMACIST)
- **Authorized official phone:** (435) 896-5438

## Contact information

- **Practice address:** 515 N MAIN ST, MONROE, UT 84754-3115
- **Practice address phone:** (435) 527-1300
- **Practice address fax:** (435) 527-0913
- **Mailing address:** 515 N MAIN ST, MONROE, UT 84754-3115
- **Mailing address phone:** (435) 527-1300
- **Mailing address fax:** (435) 527-0913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8945979-1703 | UT | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 12/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1932527124 | — | UT |
| 01 | — | 2145191 | PK | — |