Maple Mountain Pharmacy Inc.

NPI #1487192621 in Mapleton, Utah

Provider Information

NPI Number: 1487192621
Entity Type: Organization
Organization Name: Maple Mountain Pharmacy Inc.
Primary Specialty: Pharmacy
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 724 S 1600 W
City: Mapleton
State: Utah
ZIP Code: 84664-4347
Phone: (801) 515-6048

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy	333600000X	Primary

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