Organization
SPENCE'S PRESCRIPTION PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SPENCER J. KLOMP RPH (OWNER)
(435) 753-8500
Entity
Organization
Contact information
Practice address
981 S MAIN ST, LOGAN, UT 84321-6053
(435) 752-1111
(435) 752-7211
Mailing address
550 E 1400 N, LOGAN, UT 84341-2406
(435) 752-1111
(435) 752-7211
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1306421703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870343085012
—
UT
Enumeration date
07/08/2006
Last updated
08/22/2020
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