Organization
MIDLAND PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F BURUM RPH (OWNER/PHARMACIST IN CHARGE)
(801) 985-7011
Entity
Organization
Contact information
Practice address
4815 S 3500 W, ROY, UT 84067-9439
(801) 985-7011
(801) 985-0856
Mailing address
4815 S 3500 W, ROY, UT 84067-9439
(801) 866-3047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
04/02/2019
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