Organization
KEARNEY COMPANY
Active
Other names
Willow Creek Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MORRIS KEARNEY RPH (OWNER)
(801) 830-9366
Entity
Organization
Contact information
Practice address
554 NORTH MILL ROAD F-103, VINEYARD, UT 84059
(801) 655-5820
Mailing address
554 NORTH MILL ROAD F103, VINEYARD, UT 84059-4005
(801) 655-5820
(801) 655-5821
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
11/09/2021
Last updated
03/09/2022
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