Bullochs Drug Store

LBN: Ejvf Llc
Bullochs Drug Store is an health care organization with primary practice located at 91 N Main St , Cedar City UT 84720-2648. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ejvf Llc can be contacted via phone (435) 586-9651, or through Vickers, Robert via phone (435) 586-9651.

Contact Information

Primary practice address
91 N Main St Cedar City UT 84720-2648
Fax: (435) 586-3473
Website:
Authorized official contact:
Name: Vickers, Robert

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 314272-1703 Utah
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1598776080
LBN Legal business name Ejvf Llc
DBA Doing business as Bullochs Drug Store
Authorized official Vickers, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 14th, 2022 - about 2 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 1598776080 NPPES
Utah MEDICAID 1402009
Utah Other 2106943

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