Organization
GRANGER PHARMACY
Active
Other names
Granger Pharmacy,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN ALLRED PHARM. D. (OWNER)
(801) 597-5650
Entity
Organization
Contact information
Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3639
(801) 965-9641
Mailing address
2965 W 3500 S # W3500S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3639
(801) 965-9641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10310634-1703
UT
3336C0003X
Community/Retail Pharmacy
10310634-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922154756
—
UT
01
—
2139745
PK
—
Enumeration date
01/26/2007
Last updated
02/13/2025
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