NPI 1013148071
South Valley Compounding Pharmacy LLC
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
Pharmacy
Compounding Pharmacy
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.