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Fusion Specialty Pharmacy Inc — NPI 1508104712, Santa Clara, UT | NPI Central

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NPI 1508104712

OrganizationActive

Fusion Specialty Pharmacy Inc

NPI 1508104712 · Community/Retail Pharmacy · Santa Clara, UT

Provider details

NPI number: 1508104712
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Koby Taylor, President(435) 703-9680
License: PHNR001096 (GA)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 1260 (AK)
Suppliers
Community/Retail Pharmacy3336C0003XLicense PHNR001096 (GA)
Suppliers
Community/Retail Pharmacy3336C0003XLicense 22-13015 (KS)
Suppliers
Community/Retail Pharmacy3336C0003XLicense OSP.0006181 (CO)
Suppliers
Community/Retail Pharmacy3336C0003XLicense PHA-MOP-LIC-21763 (MT)
Suppliers
Community/Retail Pharmacy3336C0003XLicense PMP-966 (HI)
Suppliers

Practice location

1100 Canyon View Dr Ste C

Santa Clara, UT 84765-5672

Phone: (435) 703-9680

Fax: (855) 853-3465

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

1100 Canyon View Dr

Santa Clara, UT 84765-5671

Other names (DBA / former)

Doing business as: Fusion Specialty Pharmacy

Registry dates

Enumerated: 2013-01-23
Last updated: 2025-02-05
Certified: 2025-02-05

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

Community/Retail Pharmacy3336C0003XLicense RP-0002986-CS (OR)

Suppliers

Community/Retail Pharmacy3336C0003XLicense 033401 (NY)

Suppliers

Community/Retail Pharmacy3336C0003XLicense PH000039111 (NM)

Suppliers

Community/Retail Pharmacy3336C0003XLicense NRP.022647900-03 (OH)

Suppliers

Community/Retail Pharmacy3336C0003XLicense 28RO00142300 (NJ)

Suppliers

Community/Retail Pharmacy3336C0003XLicense PH30592 (FL)

Suppliers

Community/Retail Pharmacy3336C0003XLicense 2013016261 (MO)

Suppliers

Community/Retail Pharmacy3336C0003XLicense PH02951 (NV)

Suppliers

Community/Retail Pharmacy3336C0003XLicense 21457MS (ID)

Suppliers