Provider Demographics
NPI:1164104832
Name:PHARMBOY VENTURES UNLIMITED, INC
Entity Type:Organization
Organization Name:PHARMBOY VENTURES UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:435-674-5667
Mailing Address - Street 1:1091 N BLUFF ST STE 1005
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7083
Mailing Address - Country:US
Mailing Address - Phone:435-674-5667
Mailing Address - Fax:
Practice Address - Street 1:1091 N BLUFF ST STE 1005
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7083
Practice Address - Country:US
Practice Address - Phone:435-674-5667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy