Whalio Doctors

NPI 1245521954

Park City Clinic Pharmacy

Organisation Pharmacy Park City, UT

Practice location

Address
750 Round Valley Dr 203, Park City, UT 84098
Phone
(435) 644-2702
Mailing address
14 E Center St, Kanab, UT 84741-3542

Authorised official

Name
Kortney James Stirland
Title
Owner
Phone
(435) 644-2702

Registered specialties

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence 7955094-1703 (UT)

Registry record

NPI
1245521954
Entity type
Organization
NPI issued
28 Apr 2011
Record last updated
28 Apr 2011

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.