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Organization

K AND A HOLDINGS

Active
Other names
OLYMPUS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KERRY BROWN RPH (OWNER)
(801) 877-2696
Entity
Organization

Contact information

Practice address
4658 HOLLADAY BLVD, SALT LAKE CITY, UT 84117-5209
(801) 277-2696
Mailing address
4658 HOLLADAY BLVD, SALT LAKE CITY, UT 84117-5209
(801) 277-2696

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
891318371703
UT
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4606868
OTHER ID NUMBER-COMMERCIAL NUMBER
05
870464330007
UT
Enumeration date
07/30/2006
Last updated
07/27/2007
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