San Juan Pharmacy Inc – Community/Retail Pharmacy

Key facts

NPI: 1205929650
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 1271021703 (UT)
Legal business name: SAN JUAN PHARMACY INC
Practice address: 65 S Main St
Blanding, UT 84511-3742
Phone: (435) 678-2781
Fax: (435) 678-2379
NPI assigned: Sep 30, 2006
Organization subpart: No

Authorized official

Name: Dana Nielson NPI 1235206459
Title: Pharmacist
Phone: (435) 678-2781

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Dana K. Nielson, PHARMACIST Pharmacist · Blanding, UT · NPI 1235206459

NPD (past) Authorized official

National Provider Directory

Locations

65 S Main St
Blanding, UT 84511
Phone (435) 678-2781

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy	333600000X
Community/Retail Pharmacy	3336C0003X	1271021703	UT	Yes
Long Term Care Pharmacy	3336L0003X

Addresses

Primary practice location

65 S Main St
Blanding, UT 84511-3742

Mailing address

65 S Main St
Blanding, UT 84511-3742
Phone (435) 678-2781

Other identifiers

Identifier	Type	State	Issuer
2106938	Other		PK

Other names

SAN JUAN PHARMACY Doing business as

Other providers in Blanding, UT

All providers in Blanding, UT · Community/Retail Pharmacy in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.