Organization
DRY CREEK PHARMACY LLC
Active
Other names
DRY CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CODY LITTLEFIELD PHARMD (CEO)
(801) 647-5518
Entity
Organization
Contact information
Practice address
3300 N RUNNING CREEK WAY, BLDG G SUITE 100, LEHI, UT 84043-5563
(801) 331-6630
(801) 331-6495
Mailing address
3300 N RUNNING CREEK WAY, BLDG G SUITE 100, LEHI, UT 84043-5563
(801) 331-6630
(801) 331-6495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6892121-1703
UT
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100976
PK
—
Enumeration date
03/03/2008
Last updated
02/20/2017
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