San Juan Pharmacy Monticello Inc. in Monticello - Compounding Pharmacy

San Juan Pharmacy Monticello Inc. - NPI 1215144308

San Juan Pharmacy Monticello Inc. is a Compounding Pharmacy in Monticello, Utah. San Juan Pharmacy Monticello Inc. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for San Juan Pharmacy Monticello Inc. is 1215144308. The last update date is 2022-04-13.

San Juan Pharmacy Monticello Inc.'s current location address is Po Box 519, Monticello, Utah. You can contact this provider via phone number 4355872302 and fax number 4355873441. The mailing address for San Juan Pharmacy Monticello Inc. is Po Box 519, Monticello, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Juan Pharmacy Monticello Inc.
Address Po Box 519, Monticello, Utah
Phone Number 4355872302
Fax Number 4355873441
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Young Tim
Telephone Number 4355872302

NPI Number Detail

NPI Number 1215144308
Provider Enumeration Date 2007-05-17
Last Updated Date 2022-04-13

Provider Mailing Address Detail

Address Po Box 519
City Monticello
State Utah (UT)
Post Code 845350519
Phone Number 4355872302
Fax Number 4355873441

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
88084876 CO --
876000616040 UT --
2107592 PK

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FAQs about San Juan Pharmacy Monticello Inc.

What is the unique identification code assigned to San Juan Pharmacy Monticello Inc. by the Centers for Medicare & Medicaid Services?

The San Juan Pharmacy Monticello Inc. has been issued the NPI (National Provider Identifier) 1215144308. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of San Juan Pharmacy Monticello Inc.?

The San Juan Pharmacy Monticello Inc. is situated at Po Box 519, in the city of Monticello, state of UT, with the zip code 845350519.

What is San Juan Pharmacy Monticello Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for San Juan Pharmacy Monticello Inc. is Compounding Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0004X.

On what date did San Juan Pharmacy Monticello Inc. receive its 1215144308 assignment from the Centers for Medicare & Medicaid Services?

The San Juan Pharmacy Monticello Inc. was assigned its 1215144308 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding San Juan Pharmacy Monticello Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to San Juan Pharmacy Monticello Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-13.

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