Organization
CARBON MEDICAL SERVICE ASSOCIATION INCORPORATED
Active
Other names
Carbon Medical Helper Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SMITH PHARMD (PHARMACIST)
(435) 299-9165
Entity
Organization
Contact information
Practice address
125 S MAIN ST, HELPER, UT 84526-1535
(435) 299-9165
(425) 908-0768
Mailing address
125 S MAIN ST, HELPER, UT 84526-1535
(435) 472-3208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10190995-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649720723
—
UT
01
—
2166969
PK
—
Enumeration date
10/12/2016
Last updated
08/12/2024
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