Organization
ASPEN RIDGE PHARMACY LLC
Active
Other names
Aspen Ridge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BARBEN RPH (OWNER - CHIEF PHARMACIST)
(435) 896-5438
Entity
Organization
Contact information
Practice address
515 N MAIN ST, MONROE, UT 84754-3115
(435) 527-1300
(435) 527-0913
Mailing address
515 N MAIN ST, MONROE, UT 84754-3115
(435) 527-1300
(435) 527-0913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8945979-1703
UT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932527124
—
UT
01
—
2145191
PK
—
Enumeration date
04/03/2014
Last updated
12/02/2021
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