Organization
G THRIFT CORPORATION INC
Active
Other names
Gunnison Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN SORENSEN (PHARMACIST IN CHARGE)
(435) 528-7555
Entity
Organization
Contact information
Practice address
520 S MAIN, GUNNISON, UT 84634
(435) 528-7555
(435) 528-7553
Mailing address
PO BOX 395, GUNNISON, UT 84634-0395
(435) 528-3698
(435) 528-7553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8733265-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982039590
—
UT
01
—
2142059
PK
—
Enumeration date
09/13/2013
Last updated
11/06/2013
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