Courtney Adam Hardy, PHARMD

Individual provider Active NPI Pharmacist · Gunnison, UT

NPI 1104412113 · NPPES record last updated Dec 14, 2020

Key facts

NPI
1104412113
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6729835-1701 (UT)
Practice address
77 S Main St
Gunnison, UT 84634-7706
Phone
(435) 528-3455
Fax
(435) 528-3776
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6729835-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Family Pharmacy & Floral Inc Current Accepting new patients
Gunnison Family Pharmacy & Floral Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6729835-1701 UT Yes

Addresses

Primary practice location

77 S Main St
Gunnison, UT 84634-7706

Mailing address

PO Box 789
Gunnison, UT 84634-0789
Phone (435) 528-3455

Other names

  • Court Hardy Other name

Other providers in Gunnison, UT

All providers in Gunnison, UT · Pharmacist in Utah

Sources for this page

Verify at the official NPI Registry.