Organization
UTAH NAVAJO HEALTH SYSTEM INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MOSES PHARMD (PHARMACY DIRECTOR)
(435) 678-4640
Entity
Organization
Contact information
Practice address
30 WEST MEDICAL DRIVE, MONUMENT VALLEY, UT 84536
(435) 727-3018
(435) 727-3082
Mailing address
30 WEST MEDICAL DRIVE, MONUMENT VALLEY, UT 84536
(435) 727-3018
(435) 727-3082
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10646843-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538496153
—
UT
01
—
2122751
PK
—
05
—
655047
—
AZ
Enumeration date
11/04/2009
Last updated
05/04/2018
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