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APOTHECARY SHOP OF SANDY INC

Medical Equipment Supplier Yellow Pages

Sandy, Utah

Provider NPI: 1639100803

Organization Information:
Organization Name:  APOTHECARY SHOP OF SANDY INC


Practice Location:
880 E 9400 S STE 118 SANDY, UT 84094 US
Tel: 801-571-0340  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
UT69707811703

Other Provider Identifiers:

IssuerNumberStateType
8703064560008UT05
MEDICARE - MASS IMMUNIZATION ROSTER BILLER6762901
NCPDP PROVIDER IDENTIFICATION NUMBER460316501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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