Organization
FIRESTONE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT ROBERTSON (MANAGER)
(801) 296-5113
Entity
Organization
Contact information
Practice address
450 S 400 E, BOUNTIFUL, UT 84010-4938
(801) 397-5900
Mailing address
450 S 400 E, BOUNTIFUL, UT 84010-4938
(801) 397-5900
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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