Provider Demographics
NPI:1649936238
Name:KEARNEY COMPANY
Entity type:Organization
Organization Name:KEARNEY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:KEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:801-830-9366
Mailing Address - Street 1:554 NORTH MILL ROAD F103
Mailing Address - Street 2:
Mailing Address - City:VINEYARD
Mailing Address - State:UT
Mailing Address - Zip Code:84059-4005
Mailing Address - Country:US
Mailing Address - Phone:801-655-5820
Mailing Address - Fax:801-655-5821
Practice Address - Street 1:554 NORTH MILL ROAD F-103
Practice Address - Street 2:
Practice Address - City:VINEYARD
Practice Address - State:UT
Practice Address - Zip Code:84059
Practice Address - Country:US
Practice Address - Phone:801-655-5820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy