Organization Name: | COLD FRONT PHARMACY |
NPI Number: | 1760808919 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCAS N HENDRICKS (OWNER) |
Mailing Address: | 2332 W 12600 S Ste 2b Riverton |
State: | UT US |
Postal Code: | 840657161 |
Phone Number: | 8013501674 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2014 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 8955799-1703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |