Canyon Pharmaceutical, LLC

Community/Retail Pharmacy · Provo, UT

Organization Active NPI

NPI number 1346282951

Practice location

3179 N Canyon Rd
Provo, UT 84604-3916
Phone
(801) 377-2002
Fax
(801) 377-2007

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NPI record

NPI
1346282951
Entity type
Organization (Type 2)
Enumeration date
June 11, 2006
Last updated
August 15, 2022
Certified
August 15, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X — —
Pharmacist 183500000X 50843661703 UT
Compounding Pharmacy 3336C0004X — —

Authorized official

Name
Ryan Johansen
Title
Owner
Phone
(801) 440-2995

Other names

  • Rock Canyon Pharmacy

About Canyon Pharmaceutical, LLC

Canyon Pharmaceutical, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 3179 N Canyon Rd, Provo, UT 84604-3916. The NPI number 1346282951 was assigned on June 11, 2006 and the record was last updated on August 15, 2022.

Canyon Pharmaceutical, LLC lists a license in the registry: #50843661703 (UT) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ryan Johansen, Owner.

Frequently asked questions

What is the NPI number of Canyon Pharmaceutical, LLC?

The NPI number is 1346282951.

What is the phone number of Canyon Pharmaceutical, LLC?

The phone number listed for the practice location is (801) 377-2002.

Where is Canyon Pharmaceutical, LLC located?

3179 N Canyon Rd, Provo, UT 84604-3916.

What is the taxonomy code for Canyon Pharmaceutical, LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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