Service Drug Company Inc
Organization Active NPI Community/Retail Pharmacy · Fillmore, UT
NPI 1508820804 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1508820804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 8171489 (UT)
- Legal business name
- SERVICE DRUG COMPANY INC
- Practice address
- 40 N Main St
Fillmore, UT 84631-4506 - Phone
- (435) 743-6540
- Fax
- (435) 743-4519
- NPI assigned
- Apr 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Roger Killpack, RPH
- Title
- President / Owner
- Phone
- (435) 406-1597
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Service Drug Co
Locations
40 N Main St
Fillmore, UT 84631
Phone (435) 743-6540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 8171489 | UT | Yes |
Addresses
Primary practice location
40 N Main St
Fillmore, UT 84631-4506
Mailing address
40 N Main St
Fillmore, UT 84631-4506
Phone (435) 743-6540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508820804 | Medicaid | UT | |
| 2134168 | Other | PK |
Other names
- Service Drug
Other providers in Fillmore, UT
- Jon Y. Moody
- Jana Lynn Orton
- Heather Marie Rasmussen
- Taylor Roberts
- Merla Rutherford
- Linda Stephenson
- Teresa Lee Turner
- Marilee Wood
All providers in Fillmore, 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 Jun 30, 2022. 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.