Organization
ALPINE APOTHECARY, LLC
Active
Other names
Alpine Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN CARESTIA (PHARMACIST)
(435) 615-0070
Entity
Organization
Contact information
Practice address
1675 REDSTONE CENTER DR STE 125, PARK CITY, UT 84098-7617
(435) 615-0070
(435) 615-7067
Mailing address
1675 REDSTONE CENTER DR, STE 125, PARK CITY, UT 84098-7608
(435) 615-0070
(435) 615-7067
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
9066325-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124975
PK
—
Enumeration date
01/10/2010
Last updated
12/01/2015
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