Organization Name: | DIABETES SPECIALTY CENTER |
NPI Number: | 1033199666 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM E DOMAN (CONTROLLER) |
Mailing Address: | 3744 Second Street Ste A Salt Lake City |
State: | UT US |
Postal Code: | 84115 |
Phone Number: | 8012689699 |
Fax Number: | 8883217719 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 5738699-1703 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |