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1376920629 NPI number — UTAH VALLEY PHARMACY

NPI Number: 1376920629
Health Care Provider/Practitioner: UTAH VALLEY PHARMACY

Information about “1376920629” NPI (UTAH VALLEY PHARMACY) exists in 1376920629 in HTML format HTML  |  1376920629 in plain Text format TXT  |  1376920629 in PDF (Portable Document Format) PDF  |  1376920629 in an XML format XML  formats.

NPI Number : 1376920629 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376920629",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UTAH VALLEY PHARMACY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "214 E UNIVERSITY PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OREM",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84058-7601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-224-3932",
    "MailingAddressFaxNumber": "801-224-3724",
    "FirstLinePracticeLocationAddress": "214 E UNIVERSITY PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OREM",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84058-7601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-224-3932",
    "PracticeLocationAddressFaxNumber": "801-224-3724",
    "EnumerationDate": "05/06/2015",
    "LastUpdateDate": "06/24/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GLENN",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST-IN-CHARGE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "801-372-9600",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "93789571703",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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