Organization
DEPOT DRUG
Active
Other names
Depot Drug
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS HUGHES B.S PHARMACY (DIRECTOR OF PHARMACY)
(801) 595-4319
Entity
Organization
Contact information
Practice address
1040 N 2200 W STE 200, SALT LAKE CITY, UT 84116-2929
(800) 331-6353
(801) 595-4440
Mailing address
1040 N 2200 W STE 200, SALT LAKE CITY, UT 84116-2929
(800) 331-6353
(844) 267-3587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
66418181704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107668
PK
—
Enumeration date
12/12/2006
Last updated
03/08/2017
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