Organization Name: | SKYLINE PHARMACY INC. |
NPI Number: | 1356426753 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HOWARD BLACKHAM (PHARMACY DIRECTOR) |
Mailing Address: | 1 W Main St Mt Pleasant |
State: | UT US |
Postal Code: | 846471327 |
Phone Number: | 4354622434 |
Fax Number: | 4354623400 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 11/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |