Organization
UTAH VALLEY SPECIALTY HOSPITAL (PHARMACY)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BICE (CFO)
(801) 226-5861
Entity
Organization
Contact information
Practice address
306 RIVER BEND LN, PROVO, UT 84604-5625
(801) 226-5835
(801) 226-5759
Mailing address
306 RIVER BEND LN, PROVO, UT 84604-5625
(801) 226-5835
(801) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
6299877-1704
UT
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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