A&W Pharmacy

LBN: A&W Pharmacy
A&W Pharmacy is an health care organization with primary practice located at 171 E Main St , Duchesne UT 84021. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. A&W Pharmacy can be contacted via phone (435) 738-3784, or through Poulson, Wade via phone (435) 738-3784.

Contact Information

Primary practice address
171 E Main St Duchesne UT 84021
Phone: (435) 738-3784
Fax: (435) 738-3785
Website:
Map and Directions
Authorized official contact:
Name: Poulson, Wade RPH
Phone: (435) 738-3784

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 89320161703 Utah
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1740692367
LBN Legal business name A&W Pharmacy
DBA Doing business as A&W Pharmacy
Authorized official Poulson, Wade RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2014
Last updated Jan 26th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740692367 NPPES
Utah MEDICAID 1740692367
Utah Other 2143889

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