Canyon Pharmaceutical, LLC

NPI #1346282951 in Provo, Utah

Provider Information

NPI Number
1346282951
Entity Type
Organization
Organization Name
Canyon Pharmaceutical, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 11, 2006
Last Updated
Aug 15, 2022

Practice Location

Address
3179 N CANYON RD
City
Provo
State
Utah
ZIP Code
84604-3916
Phone
(801) 377-2002

Authorized Official

Name
RYAN JOHANSEN
Title
OWNER
Phone
(801) 440-2995

Specialties & Taxonomy Codes

Specialty
Pharmacist
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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