Provider Demographics
NPI:1962376756
Name:GOLDEN DRUG - GUNNISON, PLLC
Entity type:Organization
Organization Name:GOLDEN DRUG - GUNNISON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PHARMACIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOLDEN
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:BERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:435-896-6000
Mailing Address - Street 1:508 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-1864
Mailing Address - Country:US
Mailing Address - Phone:435-528-3455
Mailing Address - Fax:435-528-3776
Practice Address - Street 1:77 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:UT
Practice Address - Zip Code:84634-7706
Practice Address - Country:US
Practice Address - Phone:435-528-3455
Practice Address - Fax:435-528-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy