Organization
SPANISH FORK COMMUNITY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT K WARREN (PRESIDENT)
(801) 361-1000
Entity
Organization
Contact information
Practice address
375 W. CENTER, SPANISH FORK, UT 84660
(801) 361-1000
Mailing address
375 W. CENTER, SPANISH FORK, UT 84660
(801) 361-1000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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