Organization
GFY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MCDANIEL (COMPLIANCE OFFICER)
(866) 777-7000
Entity
Organization
Contact information
Practice address
189 S STATE ST STE 120, CLEARFIELD, UT 84015-1062
(801) 820-5545
(801) 820-5665
Mailing address
1710 HIGHWAY 34, WALL TOWNSHIP, NJ 07727-3906
(866) 777-7000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10283835-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167473
PK
—
Enumeration date
01/25/2017
Last updated
04/21/2017
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