Organization
BEAR LAKE DRUG GARDEN CITY
Active
Other names
Bear Lake Drug Garden City
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY HUMPHERYS PHARMD (OWNER, PHARMACIST IN CHARGE)
(208) 589-9657
Entity
Organization
Contact information
Practice address
288 S PARADISE PARKWAY, PHARMACY, GARDEN CITY, UT 84028
(435) 294-2300
(435) 990-7240
Mailing address
836 WASHINGTON ST, MONTPELIER, ID 83254-1423
(435) 294-2300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
04/11/2025
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