Organization
UHS OF PROVO CANYON INC
Active
Other names
Provo Canyon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HIGHT (PHARMACY DIRECTOR)
(801) 852-3859
Entity
Organization
Contact information
Practice address
1350 E 750 N, OREM, UT 84097-4345
(801) 852-3859
(801) 227-2199
Mailing address
1350 E 750 N, OREM, UT 84097-4345
(801) 852-3859
(801) 227-2199
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
83428331704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139426
PK
—
Enumeration date
04/17/2013
Last updated
03/06/2014
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