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Utah State Developmental Center Pharmacy
Intellectual and/or Developmental Disabilities Residential Treatment Facility in American Fork, Utah
NPI 1164435129

Utah State Developmental Center Pharmacy is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in American Fork, UT. Utah State Developmental Center Pharmacy practices in American Fork, UT. The NPI Number for Utah State Developmental Center Pharmacy is 1164435129 and holds a License No. 122434-1704 (Utah).

The current practice location address for Utah State Developmental Center Pharmacy is 895 N 900 E, American Fork, UT and can be reached out via phone at 801-763-4036 and via fax at 801-763-4073.

Location: 895 N 900 E, American Fork, UT, 84003-9183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164435129
Provider Name
Utah State Developmental Center Pharmacy
Credential
Provider Entity Type
Organization
Address
895 N 900 E, American Fork, UT, 84003-9183
Phone Number
801-763-4036
Fax Number
801-763-4073
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4603773 01 UT NCPDP
52820957000001 01 UT BLUE CROSS
876000545015 05 UT
institution
Provider Business Practice Location Address Details
Address
895 N 900 E
City
American Fork
State
Utah
Zip
84003-9183
Phone Number
801-763-4036
Fax Number
801-763-4073
person
Provider Business Mailing Address Details
Address
895 N 900 E
City
American Fork
State
Utah
Zip
84003-9183
Phone Number
801-763-4036
Fax Number
801-763-4073
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
122434-1704 (Utah)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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