Organization
CCK INC
Active
Other names
ST GEORGE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CALE BATT RPH (PIC)
(702) 398-7416
Entity
Organization
Contact information
Practice address
237 N BLUFF ST, SUITES A AND B, ST GEORGE, UT 84770-4543
(435) 628-4554
(435) 628-3592
Mailing address
237 N BLUFF ST, SUITES A AND B, ST GEORGE, UT 84770-4543
(435) 628-4554
(435) 628-3592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
70948791703
UT
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610538
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
02/25/2010
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