Orem Family Pharmacy
LBN: Holladay Pharmaceutical Llc
Orem Family Pharmacy is an health care organization with primary practice located at 406 N State St , Orem UT 84057-3802. 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.
Holladay Pharmaceutical Llc can be contacted via phone (801) 434-7670, or through Gustafson, Penny Jo via phone (801) 756-4021.
Contact Information
Primary practice address
406 N State St
Orem UT 84057-3802
Phone: (801) 434-7670
Fax: (801) 434-7669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7686605-1703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1881915957 |
|---|---|
| LBN Legal business name | Holladay Pharmaceutical Llc |
| DBA Doing business as | Orem Family Pharmacy |
| Authorized official | Gustafson, Penny Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2010 |
| Last updated | May 23rd, 2023 - about last year |
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 | 1881915957 | NPPES |
| Other | 2125523 | PK | |
| MEDICAID | 1881915957 | PK |
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