Organization
SPANISH VALLEY CLINIC PHARMACY
Active
Parent organization
SAN JUAN HEALTH SERVICE DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JUAN HEALTH SERVICE DISTRICT
Authorized official
BRIAN JOSEPH BOTHWELL PHARM D (DIRECTOR OF PHARMACY)
(435) 587-2116
Entity
Organization
Contact information
Practice address
5555 OLD AIRPORT RD., SPANISH VALLEY, UT 84532
(435) 587-1181
Mailing address
380 W 100 N, PO BOX 308, MONTICELLO, UT 84535
(435) 587-2116
(435) 587-3329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
11/16/2023
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