Provider Demographics
NPI:1205630548
Name:GOLDEN DRUG, PLLC
Entity type:Organization
Organization Name:GOLDEN DRUG, 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:435-896-6000
Mailing Address - Fax:435-896-1975
Practice Address - Street 1:508 N MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-1864
Practice Address - Country:US
Practice Address - Phone:435-896-6000
Practice Address - Fax:435-896-1975
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLDEN DRUG, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service