THE VILLAGE PANTRY #9 NPI 1114565280

NPI Information

THE VILLAGE PANTRY #9 is a long term care pharmacy pharmacy in Springville, UT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. THE VILLAGE PANTRY #9 NPI is 1114565280. The provider is registered as an organization entity type.

The provider's business location address is:

405 S MAIN ST
SPRINGVILLE, UT
ZIP 84663-252
Phone: (801) 489-5618
Fax: (801) 489-0441

The provider's authorized official is Larry Prettyman .
The authorized official title is Pharmacist and has the following contact phone number (801) 489-5618.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 12/19/2019.

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:

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