Rock Canyon Pharmacy
LBN: Canyon Pharmaceutical, Llc
Rock Canyon Pharmacy is an health care organization with primary practice located at 3179 N Canyon Rd , Provo UT 84604-3916. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Canyon Pharmaceutical, Llc can be contacted via phone (801) 377-2002, or through Johansen, Ryan via phone (801) 440-2995.
Contact Information
Primary practice address
3179 N Canyon Rd
Provo UT 84604-3916
Phone: (801) 377-2002
Fax: (801) 377-2007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 50843661703 | Utah |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1346282951 |
|---|---|
| LBN Legal business name | Canyon Pharmaceutical, Llc |
| DBA Doing business as | Rock Canyon Pharmacy |
| Authorized official | Johansen, Ryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Aug 15th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346282951 | NPPES |
| Utah | MEDICAID | 710871500008 |
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