NPI 1164435129

Utah State Developmental Center Pharmacy

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility American Fork, UT

Practice location

Address: 895 N 900 E, American Fork, UT 84003-9183
Phone: (801) 763-4036
Fax: (801) 763-4073

Authorised official

Name: Frank Whitney
Title: Pharmacy Director
Phone: (801) 763-4160

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 122434-1704 (UT)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Utah →

Registry record

NPI: 1164435129
Entity type: Organization
NPI issued: 14 Aug 2006
Record last updated: 22 Aug 2020

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.