Organization
HURRICANE FAMILY PHARMACY
Active
Other names
Hurricane Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF HOLT (RPH)
(435) 962-2557
Entity
Organization
Contact information
Practice address
25 N 2000 W, HURRICANE, UT 84737-4111
(435) 635-8200
(435) 635-4938
Mailing address
25 N 2000 W, HURRICANE, UT 84737-4111
(435) 635-8200
(435) 635-4938
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7274007-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166313
PK
—
Enumeration date
01/17/2017
Last updated
01/17/2017
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