Organization
NAT-SU PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BRENNAN (BILLING DIRECTOR)
(385) 529-8735
Entity
Organization
Contact information
Practice address
1959 N AARON DR STE B, TOOELE, UT 84074-8111
(435) 850-1823
(435) 850-1911
Mailing address
1959 N AARON DR STE B, TOOELE, UT 84074-8111
(435) 850-1823
(435) 850-1911
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
10/09/2024
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