| NPI | 1154735785 |
|---|---|
| Doing Business As | STUCKI FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL K STUCKI Owner 435-313-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 9012398-1703) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 9012398-1703) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: UT 9012398-1703) | |
| 335G00000X Medical Foods Supplier (Licence: UT 9012398-1703) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-08-11 |