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NPI Code Detail

MEDICARE: ISLAND VIEW PHARMACY INC

MEDICARE: ISLAND VIEW 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 Pharmacy5108764-1703UT

General Provider Information

NPI Number : 1750414314
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND VIEW PHARMACY INC
Provider Business Mailing Address
First Line : 2038 W 1900 S
Second Line :
City : SYRACUSE
State : UT
Zip : 84075-9320
Country : US
Telephone Number : 801-773-7899
Fax Number : 801-773-7338
Provider Business Practice Location Address
First Line : 2038 W 1900 S
Second Line :
City : SYRACUSE
State : UT
Zip : 84075-9320
Country : US
Telephone Number : 801-773-7899
Fax Number : 801-773-7338
Authorized Official
Title or Position : OWNER
Name : MR. SHAWN A SPRIGGS
Credential : RPH
Telephone Number : 801-773-7899
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/12/2021

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Directions to “ISLAND VIEW PHARMACY INC ” Practice Location

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