12TH ST PHARMACY INC

Community/Retail Pharmacy · OGDEN, UT

Organization Active NPI 1538284716

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X362500-1703UT
Pharmacy333600000X
Clinic Pharmacy3336C0002X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.