Organization
TIBBITTS FAMILY PHARMACY LLC
Active
Other names
Tibbitts Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT TIBBITTS (OWNER/PHARMACIST-IN-CHARGE)
(801) 771-0363
Entity
Organization
Contact information
Practice address
2940 N CHURCH ST STE 201, LAYTON, UT 84040-6503
(801) 771-0363
(801) 771-0506
Mailing address
2940 N CHURCH ST STE 201, LAYTON, UT 84040-6503
(801) 771-0363
(801) 771-0506
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8393226-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612265
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2012
Last updated
01/15/2021
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