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1861815110
MOUNTAINLANDS FAMILY PHARMACY - WASATCH
PROVO, UT
NPI
1861815110
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Entity Type
Organization
Authorized Contact
TODD BAILEY
CEO
801-429-2000
Organization Subpart ?
Yes
Primary Taxonomy
3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date
2014-01-22
Last Update Date
2024-05-20
Business Address
MOUNTAINLANDS FAMILY PHARMACY - WASATCH
750 N 200 W SUITE 201
PROVO, UT 84601-3539
Phone number: 801-429-2000
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Mailing Address
MOUNTAINLANDS FAMILY PHARMACY - WASATCH
589 S STATE ST
PROVO, UT 84606-5056
Phone number: 801-429-2020
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