FUSION PHARMACY LLC NPI 1114439775

NPI Details

FUSION PHARMACY LLC is a pharmacy in St George, UT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. FUSION PHARMACY LLC NPI is 1114439775. The provider is registered as an organization entity type.
The provider Is Doing Business As Fusion Pharmacy.

The provider's business location address is:

617 E RIVERSIDE DR STE 104
ST GEORGE, UT
ZIP 84790
Phone: (435) 703-9680

The provider's authorized official is Koby Taylor .
The authorized official title is Owner and has the following contact phone number (435) 656-2059.

The CLIA number assigned to this NPI record is 46D2177745 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 11/3/2017 and was last updated on 8/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: