Organization
AMERICAN FORK HOSPITAL
Active
Other names
American Fork Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HIGLEY (DIRECTOR OF PHARMACY)
(801) 855-3585
Entity
Organization
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 855-3585
Mailing address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 855-3585
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
126650-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612366
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/22/2012
Last updated
10/22/2012
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