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Central Utah Clinic, P.c.
Non-Pharmacy Dispensing Site in Provo, Utah
NPI 1316330749

Central Utah Clinic, P.c. is a Non-Pharmacy Dispensing Site based in Provo, UT. Central Utah Clinic, P.c. practices in Provo, UT. The NPI Number for Central Utah Clinic, P.c. is 1316330749 and holds a License No. 9847128-1725 (Utah).

The current practice location address for Central Utah Clinic, P.c. is 1055 N 500 W Ste 202, Provo, UT and can be reached out via phone at 801-374-2367 and via fax at 801-429-8015.

Location: 1055 N 500 W Ste 202, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316330749
Provider Name
Central Utah Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
1055 N 500 W Ste 202, Provo, UT, 84604-3305
Phone Number
801-374-2367
Fax Number
801-429-8015
Provider Enumeration Date
03/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W Ste 202
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-374-2367
Fax Number
801-429-8015
person
Provider Business Mailing Address Details
Address
1055 N 500 W Ste 202
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-374-2367
Fax Number
801-429-8015
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
9847128-1725 (Utah)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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