NPI 1639100803 · live from the CMS NPI Registry
Apothecary Shop Of Sandy INC
Pharmacy, Community/Retail Pharmacy in Sandy, UT. National Provider Identifier 1639100803, active.
NPI record
| NPI | 1639100803 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 880 E 9400 S, Ste 118, Sandy, UT 84094 |
| Practice phone | 801-571-0340 |
| Mailing address | 1606 W Whispering Wind Dr, Phoenix, AZ 85085 |
| Enumerated | July 6, 2006 |
| Last updated | November 6, 2009 |
| Authorized official | Nathan Downhour, Vp Of Operations |
| Other names | Southwood Apothecary Shop |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 69707811703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.