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NPI 1346282951

OrganizationActive

Canyon Pharmaceutical, LLC

NPI 1346282951 · Community/Retail Pharmacy · Provo, UT

Provider details

NPI number: 1346282951
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Ryan Johansen, Owner
License: 50843661703 (UT)

Practice location

3179 N Canyon Rd

Provo, UT 84604-3916

Phone: (801) 377-2002

Fax: (801) 377-2007

More UT providers

Mailing address

3179 N Canyon Rd

Provo, UT 84604-3916

Registry dates

Enumerated: 2006-06-11
Last updated: 2022-08-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Canyon Pharmaceutical, LLC — NPI 1346282951, Provo, UT | NPI Central