Organization
PARK CITY CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNEY JAMES STIRLAND RPH (OWNER)
(435) 644-2702
Entity
Organization
Contact information
Practice address
750 ROUND VALLEY DR, 203, PARK CITY, UT 84098
(435) 644-2702
Mailing address
14 E CENTER ST, KANAB, UT 84741-3542
(435) 644-2693
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7955094-1703
UT
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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