Organization
CENTRAL DRUG LLC
Active
Other names
Bountiful Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELEANOR ROGERS PHARMD (PRESIDENT)
(801) 718-7574
Entity
Organization
Contact information
Practice address
47 E 500 S, BOUNTIFUL, UT 84010-6227
(801) 295-3463
(801) 298-8223
Mailing address
133 W 1700 S, BOUNTIFUL, UT 84010-5236
(801) 718-7574
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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