Organization
SPECIALTY SALES & SERVICE A UTAH BUSINESS TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ZELLER (AUTHORIZED AGENT)
(801) 679-1874
Entity
Organization
Contact information
Practice address
580 N MAIN ST STE 250D, LOGAN, UT 84321-3994
(801) 679-1874
(801) 679-1875
Mailing address
580 N MAIN ST STE 250D, LOGAN, UT 84321-3994
(801) 850-1330
(801) 679-1875
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
07/30/2020
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