Maple Mountain Pharmacy INC

NPI #1457603037 in Mapleton, Utah

Provider Information

NPI Number
1457603037
Entity Type
Organization
Organization Name
Maple Mountain Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 8, 2012
Last Updated
Apr 22, 2014

Practice Location

Address
724 S 1600 W
State
Utah
ZIP Code
84664-4342
Phone
(801) 515-6048

Authorized Official

Name
MICHAEL JOHNSON
Title
PRESIDENT/OWNER/PIC
Phone
(801) 885-1147

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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