Intermountain Pharmacy #531

LBN: Ihc Health Services Inc
Intermountain Pharmacy #531 is an health care organization with primary practice located at 181 E Medical Tower Dr , Murray UT 84107-4872. 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) 314-2325, or through Berensen, Nannette via phone (801) 284-1005.

Contact Information

Primary practice address
181 E Medical Tower Dr Murray UT 84107-4872
Fax: (801) 314-2143
Website:
Authorized official contact:
Name: Berensen, Nannette

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 96835051703 Utah
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1558458752
LBN Legal business name Ihc Health Services Inc
DBA Doing business as Intermountain Pharmacy #531
Authorized official Berensen, Nannette
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558458752 NPPES
Other 2107871 PK
MEDICAID 1558458752 PK

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