Healthcare Provider Details

I. General information

NPI: 1316187602
Provider Name (Legal Business Name): HURRICANE FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N 2000 W
HURRICANE UT
84737-4111
US

IV. Provider business mailing address

PO BOX 249
HURRICANE UT
84737-0249
US

V. Phone/Fax

Practice location:
  • Phone: 435-635-8200
  • Fax:
Mailing address:
  • Phone: 435-635-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CLIFFORD E HOLT
Title or Position: OWNER
Credential:
Phone: 435-635-8200