Provider Information for 1881069706
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HARMON CITY INC
Organization Subpart: NO
NPI: 1881069706
Last Updated: 2024-05-31
Certification Date: 2024-05-31
Certification Date: 2024-05-31
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881069706 | ||||||||||||
| Enumeration Date | 2015-12-03 | ||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||
| Status | Active | ||||||||||||
| Authorized Official Information | Name: GREGORY JONES Title: Director of Pharmacy Phone: 8019578454 | ||||||||||||
| Mailing Address | 3540 S 4000 W STE #430 WEST VALLEY CITY, UT 84120-3260 United States Phone: 801-957-8454 | Fax: | ||||||||||||
| Primary Practice Address | 3520 PIONEER PARKWAY SANTA CLARA, UT 84765 United States Phone: 801-957-8454 | Fax: | ||||||||||||
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