Whalio Doctors

NPI 1154795854

Select Pharmacy LLC

Organisation Long Term Care Pharmacy Midvale, UT

Practice location

Address
628 W 7250 S, Midvale, UT 84047-1060
Phone
(801) 849-1595
Fax
(801) 895-7450

Authorised official

Name
Roy Payne
Title
President
Phone
(801) 759-8981

Registered specialties (2)

Long Term Care Pharmacy Primary
Suppliers Taxonomy 3336L0003X Licence 9633146-1704 (UT)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1154795854
Entity type
Organization
NPI issued
18 Nov 2015
Record last updated
7 Feb 2017

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.