Provider Demographics
NPI:1306553425
Name:GOLDEN DRUG
Entity type:Organization
Organization Name:GOLDEN DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GOLDEN
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:BERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCACP, BCADM
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-28
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy