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Contact Information

SPANISH VALLEY CLINIC PHARMACY
5555 OLD AIRPORT RD.
SPANISH VALLEY, UT84532
 Phone: 435-587-1181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SPANISH VALLEY CLINIC PHARMACY

NPI # 1114597853
LBN Legal business name SPANISH VALLEY CLINIC PHARMACY
Authorized official BRIAN BOTHWELL - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/25/2021
Last updated 11/16/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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