Organization
TREMONTON COMMUNITY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY BRENT DURRANT RPH (OWNER PRESIDENT)
(435) 757-1355
Entity
Organization
Contact information
Practice address
44 E MAIN ST, TREMONTON, UT 84337-1624
(435) 257-5249
(435) 257-5481
Mailing address
44 E MAIN ST, TREMONTON, UT 84337-1624
(435) 257-5249
(435) 257-5481
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2755121703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2755121703
STATE PHARMACY
UT
01
—
4608026
NABP
—
Enumeration date
10/11/2005
Last updated
09/18/2023
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