Provider Demographics
NPI:1861028276
Name:CEDAR DRUG AND GIFT, INC
Entity Type:Organization
Organization Name:CEDAR DRUG AND GIFT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RORY
Authorized Official - Middle Name:HAL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:435-586-7578
Mailing Address - Street 1:755 S MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3660
Mailing Address - Country:US
Mailing Address - Phone:435-586-7578
Mailing Address - Fax:435-267-1500
Practice Address - Street 1:755 S MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3660
Practice Address - Country:US
Practice Address - Phone:435-586-7578
Practice Address - Fax:435-267-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy