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LOVE INFUSION PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Salt Lake City, Utah

Provider NPI: 1477759678

Organization Information:
Organization Name:  LOVE INFUSION PHARMACY LLC


Practice Location:
1405 W 2200 S SUITE 201 SALT LAKE CITY, UT 84119 US
Tel: 801-973-0900  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336H0001XSuppliers
Pharmacy
Home Infusion Therapy Pharmacy
UT6579375-1704

Other Provider Identifiers:

IssuerNumberStateType
CONTROLLED SUBSTANCE6579375-8913UT01
PHARMACY LICENSE-CLASS B6579375-1704UT01
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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