MEDICARE: PHILRICH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1598315277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILRICH INC

Provider Business Mailing Address
First Line	:	2380 N 400 E STE E
Second Line	:
City	:	NORTH LOGAN
State	:	UT
Zip	:	84341-1767
Country	:	US
Telephone Number	:	435-787-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2380 N 400 E STE E
Second Line	:
City	:	NORTH LOGAN
State	:	UT
Zip	:	84341-1767
Country	:	US
Telephone Number	:	435-787-1212
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PHILLIP COWLEY
Credential	:
Telephone Number	:	435-787-1212

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	09/16/2019

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Directions to “PHILRICH INC ” Practice Location

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