Central Utah Clinic, PC
Central Utah Clinic, PC is a Non-Pharmacy Dispensing Site in Provo, Utah. Licensed in Utah. Registered with an NPI since 2015.
- Licensed in
- UT
- In the registry since
- 2015
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1055 N 500 W Ste 202Provo, UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-8015
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 9847128-1725 (UT) |
|---|
Record details
| NPI number | 1316330749 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jed Harston — Director Of Managed Care · (801) 812-5012 |
| Other names | Revere Health; Revere Health; Oncology Dispensing Medical Practice; Oncology Pharmacy |
| NPI enumerated | March 10, 2015 |
| Last updated in NPPES | June 16, 2018 |
| Mailing address | 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 |