Organization
PAUL REAM ENTERPRISES
Active
Other names
Reams Family Foods
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LYNN NAKKEN RPH (PHARMACY MANAGER)
(801) 356-3784
Entity
Organization
Contact information
Practice address
2250 N UNIVERSITY PKWY, PROVO, UT 84604-1500
(801) 356-3784
(801) 356-0559
Mailing address
2250 N UNIVERSITY PKWY, PROVO, UT 84604-1500
(801) 356-3784
(801) 356-0559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60307971703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610374
NCPDP
—
Enumeration date
02/09/2006
Last updated
08/22/2020
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