75 Mdg Pharmacy

LBN: 75 Mdg Pharmacy
75 Mdg Pharmacy is an health care organization with primary practice located at 7321 11Th St Bldg 570 , Hill Afb UT 84056-5012. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. 75 Mdg Pharmacy can be contacted via phone (801) 777-0419, or through Cosentino, Nicholas via phone (801) 586-9529.

Contact Information

Primary practice address
7321 11Th St Bldg 570 Hill Afb UT 84056-5012
Phone: (801) 777-0419
Fax: (801) 586-9890
Website:
Map and Directions
Authorized official contact:
Name: Cosentino, Nicholas RPH
Phone: (801) 586-9529

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X

Profile Details

NPI number 1356405336
LBN Legal business name 75 Mdg Pharmacy
DBA Doing business as
Authorized official Cosentino, Nicholas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356405336 NPPES
Other 4609268 NCPDP

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