NPI 1487736161 · live from the CMS NPI Registry
Diversified Professional Company
Pharmacy, Compounding Pharmacy in Ogden, UT. National Provider Identifier 1487736161, active.
NPI record
| NPI | 1487736161 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 1159 E 12th Street, Ogden, UT 84404 |
| Practice phone | 801-334-3190 |
| Enumerated | October 20, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Gary Bailey, President |
| Other names | Canyon View Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.