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BLUE EYES OF UTAH LLC NPI 1841647179


NPI Information

NPI: 1841647179
Provider Name: BLUE EYES OF UTAH LLC

Doing Business As: MOUNTAIN RANGE PHARMACY

Classification: Pharmacy - 3336M0002X
Entity Type: Organization

Specialization: Mail Order Pharmacy

Address:
157 E RIVERSIDE DR
SUITE 3E
ST GEORGE, UT
ZIP 84790
Phone: (435) 359-1805
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BLUE EYES OF UTAH LLC is a mail order pharmacy pharmacy in St George, UT. The provider is a pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. BLUE EYES OF UTAH LLC NPI is 1841647179. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Range Pharmacy.

The provider's business location address is:

157 E RIVERSIDE DR
SUITE 3E
ST GEORGE, UT
ZIP 84790-886
Phone: (435) 359-1805

The provider's authorized official is Kenneth Allen Bressers .
The authorized official title is Sole Member and has the following contact phone number (920) 685-5041.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 8/6/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336M0002XPharmacyMail Order Pharmacy9777440-1704UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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