Organization
APOTHECARY SHOPPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LEE DEMASS R.PH. (OWNER)
(801) 521-6353
Entity
Organization
Contact information
Practice address
82 S 1100 E, SUITE 104, SALT LAKE CITY, UT 84102-1686
(801) 521-6353
(801) 521-6390
Mailing address
82 S 1100 E, SUITE 104, SALT LAKE CITY, UT 84102-1686
(801) 521-6353
(801) 521-6390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6895933-1703
UT
Other
Enumeration date
11/18/2005
Last updated
12/27/2010
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