Organization
COLD FRONT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCAS N HENDRICKS (OWNER)
(801) 350-1674
Entity
Organization
Contact information
Practice address
2332 W 12600 S, STE 2B, RIVERTON, UT 84065-7161
(801) 350-1674
Mailing address
2332 W 12600 S, STE 2B, RIVERTON, UT 84065-7161
(801) 574-5981
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8955799-1703
UT
Other
Enumeration date
03/12/2014
Last updated
04/22/2014
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