Organization
UTAH NAVAJO HEALTH SYSTEMS INC.
Active
Other names
Montezuma Creek CHC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JENSEN (CEO OF UNHS)
(435) 678-3713
Entity
Organization
Contact information
Practice address
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 678-0419
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3921
(435) 651-3463
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
380808-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608115
NAPB
UT
Enumeration date
03/05/2007
Last updated
12/07/2018
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