Utah Cvs Pharmacy LLC

NPI #1184058810 in Provo, Utah

Provider Information

NPI Number: 1184058810
Entity Type: Organization
Organization Name: Utah Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Aug 29, 2013
Last Updated: Apr 3, 2019

Practice Location

Address: 1273 N UNIVERSITY AVE
City: Provo
State: Utah
ZIP Code: 84604-2603
Phone: (801) 377-3280

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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