NPI 1881292167 · live from the CMS NPI Registry
3bc Incorporated
Pharmacy in Providence, UT. National Provider Identifier 1881292167, active.
NPI record
| NPI | 1881292167 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 435 North Gateway Drive #802, Providence, UT 84332 |
| Practice phone | 435-752-2665 |
| Mailing address | 716 E 350 S, Logan, UT 84321 |
| Enumerated | October 9, 2020 |
| Last updated | October 9, 2020 |
| Authorized official | Robert Cook, Owner |
| Other names | Cook Brothers Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.