NPI 1114439775 · live from the CMS NPI Registry
Fusion Pharmacy LLC
Pharmacy in St George, UT. National Provider Identifier 1114439775, active.
NPI record
| NPI | 1114439775 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 617 E Riverside Dr Ste 104, St George, UT 84790 |
| Practice phone | 435-703-9680 |
| Mailing address | 1100 Canyon View Dr Ste C, Santa Clara, UT 84765 |
| Enumerated | November 3, 2017 |
| Last updated | August 10, 2021 |
| Authorized official | Koby Taylor, Owner |
| Other names | Fusion Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.