Medical Center Pharmacy

LBN: Medical Center Pharmacy Inc
Medical Center Pharmacy is an health care organization with primary practice located at 1050 E South Temple , Salt Lake City UT 84102-1507. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Center Pharmacy Inc can be contacted via phone (801) 350-8140, or through Baldwin, Jenna via phone (801) 350-8140.

Contact Information

Primary practice address
1050 E South Temple Salt Lake City UT 84102-1507
Fax: (801) 350-4791
Website:
Authorized official contact:
Name: Baldwin, Jenna PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3712351703 Utah

Profile Details

NPI number 1861495160
LBN Legal business name Medical Center Pharmacy Inc
DBA Doing business as Medical Center Pharmacy
Authorized official Baldwin, Jenna PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Sep 1st, 2020 - about 4 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 1861495160 NPPES
Other 4608583 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 841379675007 NCPDP PROVIDER IDENTIFICATION NUMBER

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