Organization
PHIL RICH INC
Active
Other names
LTC OF CACHE VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP COWLEY RPH (OWNER)
(435) 787-1212
Entity
Organization
Contact information
Practice address
2380 N 400 E, E2, NORTH LOGAN, UT 84341-1749
(435) 787-1212
(435) 787-1922
Mailing address
2380 N 400 E, E2, NORTH LOGAN, UT 84341-1749
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
61935351704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610627
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
61935351704
—
UT
Enumeration date
09/20/2006
Last updated
08/22/2020
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