NPI 1740692367 · live from the CMS NPI Registry
A&W Pharmacy
Pharmacy, Community/Retail Pharmacy in Duchesne, UT. National Provider Identifier 1740692367, active.
NPI record
| NPI | 1740692367 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 171 E Main St, Duchesne, UT 84021 |
| Practice phone | 435-738-3784 |
| Mailing address | 171 E Main St, Po Box 997, Duchesne, UT 84021 |
| Enumerated | June 2, 2014 |
| Last updated | January 26, 2015 |
| Authorized official | Wade Poulson, Owner, Pic |
| Other names | A&W Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 89320161703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.