NPI 1508104712 · live from the CMS NPI Registry
Fusion Specialty Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Santa Clara, UT. National Provider Identifier 1508104712, active.
NPI record
| NPI | 1508104712 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1100 Canyon View Dr Ste C, Santa Clara, UT 84765 |
| Practice phone | 435-703-9680 |
| Mailing address | 1100 Canyon View Dr, Ste C, Santa Clara, UT 84765 |
| Enumerated | January 23, 2013 |
| Last updated | February 5, 2025 |
| Authorized official | Koby Taylor, President |
| Other names | Fusion Specialty Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 2013016261 (MO) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH02951 (NV) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 21457MS (ID) |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 1260 (AK) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 22-13015 (KS) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | osp.0006181 (CO) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHA-MOP-LIC-21763 (MT) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PMP-966 (HI) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | RP-0002986-CS (OR) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 033401 (NY) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH000039111 (NM) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | NRP.022647900-03 (OH) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 28RO00142300 (NJ) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH30592 (FL) |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHNR001096 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.