Organization
SAMUEL K. STUCKI
Active
Other names
Stucki Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL K STUCKI PHARMD (OWNER)
(435) 313-0123
Entity
Organization
Contact information
Practice address
568 W TELEGRAPH ST # 3, WASHINGTON, UT 84780-1596
(435) 627-8848
Mailing address
568 W TELEGRAPH ST # 3, WASHINGTON, UT 84780-1596
(435) 627-8848
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
9012398-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
9012398-1703
UT
3336C0004X
Compounding Pharmacy
9012398-1703
UT
335G00000X
Medical Foods Supplier
9012398-1703
UT
Other
Enumeration date
06/11/2014
Last updated
08/11/2014
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