MEDICARE: COLIN WILLIAM PRICE RPH.

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
1	183500000X	Pharmacist	4885761-1701	UT

General Provider Information

NPI Number	:	1780904334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN WILLIAM PRICE RPH.

Provider Business Mailing Address
First Line	:	10223 CALLA LILY WAY
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 REDWOOD RD
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-4734
Country	:	US
Telephone Number	:	801-768-2240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2010
Last Update Date	:	06/06/2010

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