Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Other names
Carbon Medical Service Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ANDERSON (CREDENTIALING)
(435) 888-4411
Entity
Organization
Contact information
Practice address
331 E HIGHWAY 123, SUNNYSIDE, UT 84539-7725
(435) 888-4411
(435) 888-2270
Mailing address
PO BOX 930, EAST CARBON, UT 84520-0930
(435) 888-4411
(435) 888-2270
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
UT
Enumeration date
04/04/2006
Last updated
08/14/2024
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