Alta View Hospital Outpatient Pharmacy

LBN: Ihc Health Services Inc
Alta View Hospital Outpatient Pharmacy is an health care organization with primary practice located at 9660 S 1300 E , Sandy UT 84094-3762. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ihc Health Services Inc can be contacted via phone (801) 501-2741, or through Wagner, Darryl via phone (801) 442-3903.

Contact Information

Primary practice address
9660 S 1300 E Sandy UT 84094-3762
Fax: (801) 501-2710
Website:
Authorized official contact:
Name: Wagner, Darryl

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 54204461703 Utah

Profile Details

NPI number 1508973215
LBN Legal business name Ihc Health Services Inc
DBA Doing business as Alta View Hospital Outpatient Pharmacy
Authorized official Wagner, Darryl
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 28th, 2008 - about 16 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 1508973215 NPPES
Utah MEDICAID 942854058189
Utah Other 4605234
Utah Other 4605234

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