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Midway Pharmacy

Midway Pharmacy is a health care provider in Salt Lake City, UT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 42 W Main St, Midway, UT 84049-6313, US
Practice Location Phone435-654-1926
Practice Location Fax435-654-3039
Legal Business NameMIDWAY PHARMACY
Other Organization NameMIDWAY MARKET PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1164795431
Entity TypeOrganization
Enumeration Date ? Feb 17, 2012
Last Update Date ? Mar 25, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Midway Pharmacy

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy 8208474-1703Utah

legacy-id-icon Legacy Provider IDs of Midway Pharmacy

Provider IdIssuer StateIssuer TypeIssuer
4612190OtherNCPDP PROVIDER IDENTIFICATION NUMBER
=========001UtahMedicaid
1164795431UtahMedicaid

official-icon Authorized Official of Midway Pharmacy

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Midway Pharmacy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Daniel Cook (PHARMD)
Authorized Official Title/PositionPHARMACY MANAGER/PIC
Authorized Official Phone Number435-657-0170