Organization
MOAB VALLEY HEALTHCARE, INC.
Active
Other names
MOAB REGIONAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY OLSEN PHARMD (DIRECTOR OF PHARMACY)
(435) 719-3650
Entity
Organization
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2065
(435) 719-3650
Mailing address
450 WILLIAMS WAY, MOAB, UT 84532-2065
(435) 719-3650
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
78471171704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100681
PK
—
Enumeration date
12/14/2006
Last updated
01/07/2025
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