NPI 1467584300 · live from the CMS NPI Registry
Brigham Young University
Pharmacy, Clinic Pharmacy in Provo, UT. National Provider Identifier 1467584300, active.
NPI record
| NPI | 1467584300 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Clinic Pharmacy 3336C0002X |
| Practice location | 1750 N Wymount Terrace Dr, Provo, UT 84604 |
| Practice phone | 801-422-5171 |
| Enumerated | March 9, 2007 |
| Last updated | August 19, 2015 |
| Authorized official | James Averett, Director Of Pharmacy |
| Other names | Brigham Young University Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy | 3336C0002X | 3594301703 (UT) |
| Pharmacy, Clinic Pharmacy primary | 3336C0002X | 359430-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.