Organization
STAPLEY PHARMACY, INC.
Active
Other names
Stapley Pharmacy Enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CHRISTENSEN (OPERATIONS MANAGER)
(435) 673-3575
Entity
Organization
Contact information
Practice address
167 E. MAIN STREET, ENTERPRISE, UT 84725
(435) 878-2300
(435) 878-2303
Mailing address
167 E. MAIN STREET, PO BOX 1057, ENTERPRISE, UT 84725
(435) 878-2300
(435) 878-2301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
94842461703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153104
PK
—
Enumeration date
08/04/2015
Last updated
12/18/2019
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