Organization
WAYNE COMMUNITY HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONAVAN SMITH RPH. (PHARMACIST)
(435) 425-3744
Entity
Organization
Contact information
Practice address
128 SOUTH 300 WEST, BICKNELL, UT 84715-0303
(435) 425-3744
(435) 425-1139
Mailing address
128 SOUTH 300 WEST, P.O. BOX 303, BICKNELL, UT 84715-0303
(435) 425-3744
(435) 425-1139
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4855620-1703
UT
Other
Enumeration date
07/13/2006
Last updated
03/24/2015
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