NPI 1811708308 · live from the CMS NPI Registry
Cache Valley Pharmacare LLC
Pharmacy, Community/Retail Pharmacy in North Logan, UT. National Provider Identifier 1811708308, active.
NPI record
| NPI | 1811708308 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2245 N 400 E Ste 105, North Logan, UT 84341 |
| Practice phone | 435-757-1212 |
| Mailing address | Po Box 1438, Beaver, UT 84713 |
| Enumerated | January 15, 2025 |
| Last updated | January 15, 2025 |
| Authorized official | Byron Robinson, Owner |
| Other names | Cache Valley Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.