FUSION SPECIALTY PHARMACY INC
Suppliers at Canyon View Dr, Santa Clara, UT

License number
Utah 1260
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah 21457MS
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah PH02951
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah 2013016261
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah PH30592
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah 28RO00142300
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah NRP.022647900-03
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah PH000039111
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah 033401
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah RP-0002986-CS
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah PMP-966
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah PHA-MOP-LIC-21763
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah OSP.0006181
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah 22-13015
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Utah PHNR001096
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: KOBY TAYLOR PHARMD
Title: PRESIDENT
Phone: (435) 703-9680
Address
Address
1100 Canyon View Dr STE C, Santa Clara, UT 84765
National Provider ID: 1508104712
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FUSION SPECIALTY PHARMACY INC at bizstanding.com

Fusion Specialty Pharmacy, Inc

1100 Cyn Vw Dr STE C, Santa Clara, UT 84765

Status:
Inactive
Industry:
Ret Drugs/Sundries
Doing business as:
FUSION SPECIALTY PHARMACY
Registration:
Sep 18, 2013
Phone:
(435) 703-9680 (Phone)
State ID:
2013-000650705
Business type:
Profit Corporation - Foreign
Expiration:
Perpetual
Director, President, Shareholders:
Koby Taylor (Shareholder, Secretary, Vice President, Treasurer),Travis Jackman (Director, President, Shareholder)
Agent:
Corporation Service Company,1127 Broadway St NE STE 310, Salem, OR 97301 (Physical)
TIN:
32056733127
Categories:
Drug Stores & Pharmacies

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