Organization
SELECT PHARMACY LLC
Active
Other names
Select Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROY PAYNE (PRESIDENT)
(801) 759-8981
Entity
Organization
Contact information
Practice address
628 W 7250 S, MIDVALE, UT 84047-1060
(801) 849-1595
(801) 895-7450
Mailing address
628 W 7250 S, MIDVALE, UT 84047-1060
(801) 849-1595
(801) 895-7450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
9633146-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157509
PK
—
Enumeration date
11/18/2015
Last updated
02/07/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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