Granger Clinic Pharmacy Inc

LBN: Granger Clinic Pharmacy Inc
Granger Clinic Pharmacy Inc is an health care organization with primary practice located at 3725 W 4100 S , West Valley City UT 84120-5530. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Granger Clinic Pharmacy Inc can be contacted via phone (801) 965-3639, or through Young, Melissa via phone (801) 965-3639.

Contact Information

Primary practice address
3725 W 4100 S West Valley City UT 84120-5530
Phone: (801) 965-3639
Fax: (801) 965-9641
Website:
Map and Directions
Authorized official contact:
Name: Young, Melissa
Phone: (801) 965-3639

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 61710311703 Utah

Profile Details

NPI number 1780695338
LBN Legal business name Granger Clinic Pharmacy Inc
DBA Doing business as
Authorized official Young, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1780695338 NPPES
Other 4610502 OTHER ID NUMBER-COMMERCIAL NUMBER

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