Intermountain Pharmacy #144
LBN: Ihc Health Services, Inc.
Intermountain Pharmacy #144 is an health care organization with primary practice located at 395 W 1230 N Ste 204 , Provo UT 84604-3328. 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.
Ihc Health Services, Inc. can be contacted via phone (801) 357-7333, or through Berensen, Nannette via phone (801) 284-1005.
Contact Information
Primary practice address
395 W 1230 N Ste 204
Provo UT 84604-3328
Phone: (801) 357-7333
Fax: (801) 357-7437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 10594981-1703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1326155037 |
|---|---|
| LBN Legal business name | Ihc Health Services, Inc. |
| DBA Doing business as | Intermountain Pharmacy #144 |
| Authorized official | Berensen, Nannette |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1326155037 | NPPES |
| Other | 2108195 | PK | |
| MEDICAID | 1326155037 | PK |
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