Organization
ABC ENTERPRISES I, LLC
Active
Other names
Pleasant Creek Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT W PETERSON PHARM.D. (PHARMACIST/OWNER)
(435) 851-1510
Entity
Organization
Contact information
Practice address
1050 SOUTH MEDICAL DRIVE SUITE B, MT. PLEASANT, UT 84647
(435) 462-0116
Mailing address
1050 SOUTH MEDICAL DRIVE SUITE B, MT. PLEASANT, UT 84647
(435) 462-0116
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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