Organization
SOUTH VALLEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DURRANT (PRESIDENT)
(435) 563-6262
Entity
Organization
Contact information
Practice address
1652 S HIGHWAY 165, PROVIDENCE, UT 84332-6701
(801) 703-0494
Mailing address
1652 S HIGHWAY 165, PROVIDENCE, UT 84332-6701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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