Healthcare Provider Details

I. General information

NPI: 1356251607
Provider Name (Legal Business Name): SP CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 E 1400 S STE 4A
ST GEORGE UT
84790-4009
US

IV. Provider business mailing address

291 E 1400 S STE 4A
ST GEORGE UT
84790-4009
US

V. Phone/Fax

Practice location:
  • Phone: 435-703-2273
  • Fax:
Mailing address:
  • Phone: 435-703-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KENNETH LEE JONES
Title or Position: PIC
Credential: PHARMD
Phone: 435-703-2273