| Organization Name: | SUNDANCE PHARMACY LLC |
| NPI Number: | 1033264130 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLEM MCEWEN (PHARMACIST MANAGER) |
| Mailing Address: | 538 N 1300 E Saint George |
| State: | UT US |
| Postal Code: | 847703222 |
| Phone Number: | 4356739204 |
| Fax Number: | 4356282865 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336M0002X |
| License Number: | 56416441704 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Mail Order Pharmacy |
| Taxonomy Definition: | A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |