Organization
SAMUEL I MARSHALL, P,C.
Active
Other names
Panguitch Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL IAN MARSHALL PHARMD (OWNER)
(435) 590-8621
Entity
Organization
Contact information
Practice address
95 E CENTER, PANGUITCH, UT 84759-0068
(435) 676-2212
(435) 676-8850
Mailing address
PO BOX 68, PANGUITCH, UT 84759-0068
(435) 676-2212
(435) 676-8850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8715464-1703
UT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326487182
—
UT
Enumeration date
06/14/2013
Last updated
04/06/2022
Update your record
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