Intermountain Pharmacy #136
LBN: Ihc Health Services Inc
Intermountain Pharmacy #136 is an health care organization with primary practice located at 3895 Harrison Blvd , Ogden UT 84403-2312. 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) 387-8550, or through Berensen, Nannette via phone (801) 284-1005.
Contact Information
Primary practice address
3895 Harrison Blvd
Ogden UT 84403-2312
Phone: (801) 387-8550
Fax: (801) 387-8555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9867311-1703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1336692516 |
|---|---|
| LBN Legal business name | Ihc Health Services Inc |
| DBA Doing business as | Intermountain Pharmacy #136 |
| Authorized official | Berensen, Nannette |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 25th, 2016 |
| 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 | 1336692516 | NPPES |
| Utah | MEDICAID | 1336692516 | |
| Utah | Other | 2160914 |
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