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1750564514
SOUTH VALLEY PHARMACY
PROVIDENCE, UT
NPI
1750564514
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Entity Type
Organization
Authorized Contact
LARRY DURRANT
President
435-563-6262
Organization Subpart ?
No
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
SOUTH VALLEY PHARMACY
1652 S HIGHWAY 165
PROVIDENCE, UT 84332-6701
Phone number: 801-703-0494
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Mailing Address
SOUTH VALLEY PHARMACY
1652 S HIGHWAY 165
PROVIDENCE, UT 84332-6701
Phone number:
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