Organization
DT KENAI INVESTMENT LLC
Active
Other names
Kanab United Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID REED SHAKESPEARE PHARM-D (OWNER)
(435) 644-2418
Entity
Organization
Contact information
Practice address
176 W CENTER ST, KANAB, UT 84741-3416
(435) 644-2418
(435) 644-2057
Mailing address
176 W CENTER ST, KANAB, UT 84741-3416
(435) 644-2418
(435) 644-2057
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
94284931703
UT
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131833
PK
—
Enumeration date
08/31/2006
Last updated
08/22/2022
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