Organization
PRECISION MEDICAL PHARMACY, LLC
Active
Other names
Westlake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY E. BROWN RPH (OWNER/MANAGER)
(801) 221-9355
Entity
Organization
Contact information
Practice address
270 E CROSSROADS BLVD, SARATOGA SPRINGS, UT 84045-2966
(801) 221-9355
(801) 221-3706
Mailing address
270 E CROSSROADS BLVD, SARATOGA SPRINGS, UT 84045-2966
(801) 221-9355
(801) 221-3706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8615548-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139979
PK
—
01
—
4611910
NCPDP
—
Enumeration date
06/15/2010
Last updated
07/14/2022
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