OrganizationActive
Utah State Developmental Center Pharmacy
NPI 1164435129 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · American Fork, UT
Provider details
- NPI number
- 1164435129
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Frank Whitney, Pharmacy Director
- License
- 122434-1704 (UT)
Practice location
895 N 900 E
American Fork, UT 84003-9183
Phone: (801) 763-4036
Fax: (801) 763-4073
Mailing address
895 N 900 E
American Fork, UT 84003-9183
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.