South Valley Pharmacy
NPI #1750564514 in Providence, Utah
Provider Information
- NPI Number
- 1750564514
- Entity Type
- Organization
- Organization Name
- South Valley Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 14, 2007
- Last Updated
- Dec 14, 2007
Practice Location
- Address
- 1652 S HIGHWAY 165
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-6701
- Phone
- (801) 703-0494
Authorized Official
- Name
- LARRY DURRANT
- Title
- PRESIDENT
- Phone
- (435) 563-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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