Main Street Drug & Boutique, Inc.
NPI #1073272852 in Monticello, Utah
Provider Information
- NPI Number
- 1073272852
- Entity Type
- Organization
- Organization Name
- Main Street Drug & Boutique, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 140 S MAIN ST
- City
- Monticello
- State
- Utah
- ZIP Code
- 84535-7728
- Phone
- (435) 587-2302
Authorized Official
- Name
- TYLER GILSON, PHARMD
- Title
- PRESIDENT/PHARMACIST
- Phone
- (435) 650-2736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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