Organization
MARCHANTS PHARM WAGON
Active
Other names
Santaquin Pharmacy & Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT MARCHANT PHARM.D. (OWNER/MANAGER)
(435) 691-4288
Entity
Organization
Contact information
Practice address
390 E MAIN ST, SANTAQUIN, UT 84655-7078
(801) 754-1141
(801) 754-3141
Mailing address
390 E MAIN ST, SANTAQUIN, UT 84655-7078
(801) 754-1141
(801) 754-3141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10701041
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912403502
—
UT
Enumeration date
04/02/2018
Last updated
02/19/2022
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