Organization
CENTRAL VALLEY MEDICAL CENTER
Active
Other names
CENTRAL VALLEY COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT DAVIS RPH (CFO)
(435) 623-3000
Entity
Organization
Contact information
Practice address
152 W 1500 N, NEPHI, UT 84648-5520
(435) 623-3700
(435) 623-3704
Mailing address
PO BOX 412, NEPHI, UT 84648-0412
(435) 623-3704
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
62330861703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100851
PK
—
Enumeration date
07/19/2006
Last updated
12/20/2016
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