Intermountain Southridge Pharmacy
LBN: Ihc Health Services Inc
Intermountain Southridge Pharmacy is an health care organization with primary practice located at 3723 W 12600 S Ste 170 , Riverton UT 84065-7296. 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) 285-4500, or through Berensen, Nannette via phone (801) 284-1005.
Contact Information
Primary practice address
3723 W 12600 S Ste 170
Riverton UT 84065-7296
Phone: (801) 285-4500
Fax: (801) 285-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7359499-1703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1649401969 |
|---|---|
| LBN Legal business name | Ihc Health Services Inc |
| DBA Doing business as | Intermountain Southridge Pharmacy |
| Authorized official | Berensen, Nannette |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 4th, 2009 |
| 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 | 1649401969 | NPPES |
| Idaho | MEDICAID | 1649401969 | |
| Idaho | MEDICAID | 1649401969 | |
| Idaho | Other | 2121208 | |
| Idaho | MEDICAID | 1649401969 |
Popular Providers
-
Walgreen Co
12623 S Redwood Rd , Riverton UT 84065-6606 -
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Harmon City Inc
13330 South Kestrel Range Road , Riverton UT 84065 -
Peterson Foodtown Inc
1777 W 12600 S , Riverton UT 84065-7043 -
Peterson Market Llc
1784 W 12600 S , Riverton UT 84065-7025 -
Bioscrip Pharmacy, Inc.
3900 Fifth Ave Ste 110, San Diego CA 92103-3122 -
South Valley Compounding Pharmacy Llc
3796 W 12600 S , Riverton UT 84065-7215 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528