Organization
KWIK STOP DRUG
Active
Other names
KWIK STOP DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY VAN VLEET (OWNER AND PRESIDENT)
(801) 399-5866
Entity
Organization
Contact information
Practice address
325 36TH ST, OGDEN, UT 84405-1623
(801) 399-5866
(801) 621-4791
Mailing address
325 36TH ST, OGDEN, UT 84405-1623
(801) 399-5866
(801) 621-4791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
321208-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600450
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/04/2006
Last updated
10/05/2010
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