Healthcare Provider Details

I. General information

NPI: 1912911876
Provider Name (Legal Business Name): ZION PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 E CENTER ST
KANAB UT
84741-3542
US

IV. Provider business mailing address

14 E CENTER ST
KANAB UT
84741-3542
US

V. Phone/Fax

Practice location:
  • Phone: 435-644-2702
  • Fax: 435-644-8167
Mailing address:
  • Phone: 435-644-2702
  • Fax: 435-644-8167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: KORTNEY J STIRLAND
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 435-644-2693