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Organization

PROFESSIONAL PHARMACY SERVICES

Active
Other names
PROFESSIONAL PHARMACY SERVICES LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MARC COHEN PHARM D (PRES)
(801) 743-2800
Entity
Organization

Contact information

Practice address
3793 S STATE ST, SALT LAKE CITY, UT 84115-4828
(801) 263-5466
Mailing address
3793 S STATE ST, SALT LAKE CITY, UT 84115-4828
(801) 263-5466

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
66379161704
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4610398
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/13/2006
Last updated
08/28/2009
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