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SOUTH VALLEY COMPOUNDING PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Riverton, Utah

Provider NPI: 1013148071

Organization Information:
Organization Name:  SOUTH VALLEY COMPOUNDING PHARMACY LLC


Practice Location:
3796 W 12600 S  RIVERTON, UT 84065 US
Tel: 801-676-7880  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
UT9436474-1703

Other Provider Identifiers:

IssuerNumberStateType
1013148071UT05
PK212195601
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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