Organization
SALEM HILLS PHARMACY INC
Active
Other names
Salem Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT WARREN (MANAGER)
(801) 723-0570
Entity
Organization
Contact information
Practice address
118 N MAIN ST, SALEM, UT 84653-5698
(801) 723-0570
(801) 723-0575
Mailing address
118 N MAIN ST, SALEM, UT 84653-5698
(801) 723-0570
(801) 723-0575
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8043880-1703
UT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4611213
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/23/2009
Last updated
03/25/2013
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