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Organization

HEALTHWISE PHARMACY INC

Active
Other names
HEALTHWISE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN HICKMAN (PHARMACIST IN CHARGE)
(801) 489-7300
Entity
Organization

Contact information

Practice address
724 S 1600 W, MAPLETON, UT 84664-4347
(801) 489-7300
(801) 489-4949
Mailing address
724 S 1600 W, MAPLETON, UT 84664-4347
(801) 489-7300
(801) 489-4949

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8359105-1704
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2100773
PK
Enumeration date
04/19/2007
Last updated
10/05/2015
About Stedi
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  • EDI platform