Organization
GUNNISON FAMILY PHARMACY & FLORAL INC
Active
Other names
Gunnison Family Pharmacy & Floral, Family Pharmacy LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY ADAM HARDY PHARMD (PIC)
(435) 528-3455
Entity
Organization
Contact information
Practice address
77 SOUTH MAIN STREET, GUNNINSON, UT 84634
(435) 528-3455
(435) 528-3776
Mailing address
PO BOX 789, GUNNISON, UT 84634-0789
(435) 528-3455
(435) 528-3776
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8357604-1703
UT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143922
PK
—
05
—
646037165001
—
UT
Enumeration date
01/15/2014
Last updated
04/30/2021
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