Organization
PHARMBOY VENTURES UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE S MCFADDEN (OWNER)
(435) 674-5667
Entity
Organization
Contact information
Practice address
1091 N BLUFF ST, SAINT GEORGE, UT 84770-4894
(435) 674-5667
(435) 628-1774
Mailing address
1091 N BLUFF ST, SUITE 1005, SAINT GEORGE, UT 84770-4894
(435) 674-5667
(425) 628-1774
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10527986-1703
UT
3336C0003X
Community/Retail Pharmacy
7884853-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750687802
—
UT
01
—
2128383
PK
—
Enumeration date
02/08/2011
Last updated
03/17/2018
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