Hi Mountain Drug

NPI #1497890099 in Kamas, Utah

Provider Information

NPI Number: 1497890099
Entity Type: Organization
Organization Name: Hi Mountain Drug
Primary Specialty: Pharmacy
Enumeration Date: Feb 21, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 40 NORTH MAIN
City: Kamas
State: Utah
ZIP Code: 84036
Phone: (435) 783-4466

Authorized Official

Name: MR. CRAIG C VAN TASSELL, RPH
Title: OWNER PHARMACIST
Phone: (435) 783-4466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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