Wellformed AI

NPI 1538528898 · live from the CMS NPI Registry

Central Drug LLC

Pharmacy, Community/Retail Pharmacy in Bountiful, UT. National Provider Identifier 1538528898, active.

NPI record

NPI1538528898 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location47 E 500 S, Bountiful, UT 84010
Practice phone801-295-3463
Mailing address133 W 1700 S, Bountiful, UT 84010
EnumeratedFebruary 15, 2016
Last updatedFebruary 15, 2016
Authorized officialMary Rogers, President
Other namesBountiful Drug

Taxonomies and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy, Compounding Pharmacy3336C0004X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.