Organization
PREMIER CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LYNN NAKKEN (OWNER/RPH)
(801) 607-2138
Entity
Organization
Contact information
Practice address
863 N 980 W, OREM, UT 84057-7710
(801) 607-2138
(801) 225-2388
Mailing address
863 N 980 W, OREM, UT 84057-7710
(801) 607-2138
(801) 225-2388
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962894758
STATE LICENSE
UT
05
—
1962894758
—
UT
Enumeration date
03/03/2015
Last updated
08/23/2021
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