Healthcare Provider Details

I. General information

NPI: 1205094729
Provider Name (Legal Business Name): BIO PHARMACEUTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 E 720 S
OREM UT
84058-6342
US

IV. Provider business mailing address

386 E 720 S
OREM UT
84058-6342
US

V. Phone/Fax

Practice location:
  • Phone: 801-765-4356
  • Fax:
Mailing address:
  • Phone: 801-765-4356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number69803051703
License Number StateUT

VIII. Authorized Official

Name: JUDY ANN WILLIAMS
Title or Position: OWNER
Credential: OWNER
Phone: 801-765-4356