Whalio Doctors

NPI 1013148071

South Valley Compounding Pharmacy LLC

Organisation Community/Retail Pharmacy Riverton, UT

Practice location

Address
3796 W 12600 S, Riverton, UT 84065-7215
Phone
(801) 676-7880
Fax
(801) 676-7883

Authorised official

Name
Bart Smith
Title
Phamacist/Owner
Phone
(801) 676-7880

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 9436474-1703 (UT)
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1013148071
Entity type
Organization
NPI issued
6 Aug 2009
Record last updated
2 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.