Provider Demographics
NPI:1366074254
Name:MILFORD PHARMACY SERVICES
Entity type:Organization
Organization Name:MILFORD PHARMACY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-387-5583
Mailing Address - Street 1:PO BOX 1438
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:UT
Mailing Address - Zip Code:84713-1438
Mailing Address - Country:US
Mailing Address - Phone:435-387-5583
Mailing Address - Fax:435-387-5585
Practice Address - Street 1:437 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:UT
Practice Address - Zip Code:84751-7807
Practice Address - Country:US
Practice Address - Phone:435-387-5583
Practice Address - Fax:435-387-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy