Organization
SPENCE'S PRESCRIPTION PHARMACY INC
Active
Other names
Spence's North Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED STAKEBAKE CPHT (CFO)
(435) 753-8500
Entity
Organization
Contact information
Practice address
550 E 1400 N, LOGAN, UT 84341-2406
(435) 753-8500
(435) 753-3040
Mailing address
550 E 1400 N, LOGAN, UT 84341-2406
(435) 753-8500
(435) 753-3040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1259851703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870343085009
—
UT
Enumeration date
07/08/2006
Last updated
12/08/2022
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