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NPI Code Detail

MEDICARE: FUSION SPECIALTY PHARMACY INC

MEDICARE: FUSION SPECIALTY PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPHNR001096GA
23336C0003XCommunity/Retail Pharmacy22-13015KS
33336C0003XCommunity/Retail PharmacyOSP.0006181CO
43336C0003XCommunity/Retail PharmacyPHA-MOP-LIC-21763MT
53336C0003XCommunity/Retail PharmacyPMP-966HI
63336C0003XCommunity/Retail PharmacyRP-0002986-CSOR
73336C0003XCommunity/Retail Pharmacy033401NY
83336C0003XCommunity/Retail PharmacyPH000039111NM
93336C0003XCommunity/Retail PharmacyNRP.022647900-03OH
103336C0003XCommunity/Retail Pharmacy28RO00142300NJ
113336C0003XCommunity/Retail PharmacyPH30592FL
123336C0003XCommunity/Retail Pharmacy2013016261MO
133336C0003XCommunity/Retail PharmacyPH02951NV
143336C0003XCommunity/Retail Pharmacy21457MSID
153336C0003XCommunity/Retail Pharmacy1260AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12138783OTHERPK

General Provider Information

NPI Number : 1508104712
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUSION SPECIALTY PHARMACY INC
Provider Business Mailing Address
First Line : 1100 CANYON VIEW DR
Second Line : STE C
City : SANTA CLARA
State : UT
Zip : 84765-5671
Country : US
Telephone Number : 435-703-9680
Fax Number : 855-853-3465
Provider Business Practice Location Address
First Line : 1100 CANYON VIEW DR STE C
Second Line :
City : SANTA CLARA
State : UT
Zip : 84765-5672
Country : US
Telephone Number : 435-703-9680
Fax Number : 855-853-3465
Authorized Official
Title or Position : PRESIDENT
Name : KOBY TAYLOR
Credential : PHARMD
Telephone Number : 435-703-9680
Provider Enumeration Date : 01/23/2013
Last Update Date : 02/05/2025

Similar Medicare Providers

1154457380 — DR. KOBY TAYLOR PHARM.D., R.PH.
Practice Location Address:
1100 CANYON VIEW DR STE C
SANTA CLARA, UT
84765-5672
Practice Phone: 435-703-9680
Practice Fax: 855-853-3465
1033301239 — CLEAR VIEW EYE CARE P.C.
Practice Location Address:
1100 CANYON VIEW DR STE G
SANTA CLARA, UT
84765-5672
Practice Phone: 435-674-3502
Practice Fax: 435-674-0227
1124533377 — TRAVIS SNOW PHARMD
Practice Location Address:
1100 CANYON VIEW DR STE C
SANTA CLARA, UT
84765-5672
Practice Phone: 435-703-9680
Practice Fax:
1639667801 — ST. GEORGE KIDS DENTAL AT SNOW CANYON
Practice Location Address:
1100 CANYON VIEW DR STE A
SANTA CLARA, UT
84765-5672
Practice Phone: 435-673-3490
Practice Fax: 435-627-9954
1205847365 — DR. GARY ARITA D.D.S.
Practice Location Address:
545 SARATOGA AVE , SUITE A
SANTA CLARA, CA
95050-5672
Practice Phone: 408-246-3566
Practice Fax:
1669564506 — DR. SORANA MARIA MUNTEANU DMD
Practice Location Address:
545 SARATOGA AVE STE E
SANTA CLARA, CA
95050-5672
Practice Phone: 408-296-7617
Practice Fax: 408-296-6285

Directions to “FUSION SPECIALTY PHARMACY INC ” Practice Location

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