Southwood Apothecary Shop
LBN: Apothecary Shop Of Sandy Inc
Southwood Apothecary Shop is an health care organization with primary practice located at 880 E 9400 S Ste 118, Sandy UT 84094-3667. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Apothecary Shop Of Sandy Inc can be contacted via phone (801) 571-0340, or through Downhour, Nathan via phone (623) 434-3654.
Contact Information
Primary practice address
880 E 9400 S Ste 118
Sandy UT 84094-3667
Phone: (801) 571-0340
Fax: (801) 576-8938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 69707811703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1639100803 |
|---|---|
| LBN Legal business name | Apothecary Shop Of Sandy Inc |
| DBA Doing business as | Southwood Apothecary Shop |
| Authorized official | Downhour, Nathan PHRMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Nov 6th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639100803 | NPPES |
| Other | 4603165 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| Other | 67629 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 8703064560008 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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