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Brigham Young University
Clinic Pharmacy in Provo, Utah
NPI 1467584300

Brigham Young University is a Clinic Pharmacy based in Provo, UT and is specialized in Clinic Pharmacy. Brigham Young University practices in Provo, UT. The NPI Number for Brigham Young University is 1467584300 and holds a License No. 3594301703 (Utah).

The current practice location address for Brigham Young University is 1750 N Wymount Terrace Dr, Provo, UT and can be reached out via phone at 801-422-5171 and via fax at 801-422-0812. You can also correspond with Brigham Young University through the mailing address at 1750 N WYMOUNT TERRACE DR, PROVO, UT - 84604-8600 (mailing address contact number: 801-422-5171).

Location: 1750 N Wymount Terrace Dr, Provo, UT, 84604-8600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467584300
Provider Name
Brigham Young University
Credential
Provider Entity Type
Organization
Address
1750 N Wymount Terrace Dr, Provo, UT, 84604-8600
Phone Number
801-422-5171
Fax Number
801-422-0812
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4601971 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1750 N Wymount Terrace Dr
City
Provo
State
Utah
Zip
84604-8600
Phone Number
801-422-5171
Fax Number
801-422-0812
person
Provider Business Mailing Address Details
Address
1750 N Wymount Terrace Dr
City
Provo
State
Utah
Zip
84604-8600
Phone Number
801-422-5171
Fax Number
801-422-0812
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
3594301703 (Utah)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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