Mountainlands Family Pharmacy

LBN: Mountainlands Family Pharmacy
Mountainlands Family Pharmacy is an health care organization with primary practice located at 589 S State St , Provo UT 84606-5056. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mountainlands Family Pharmacy can be contacted via phone (801) 429-2000, or through Bailey, Todd via phone (801) 429-2011.

Contact Information

Primary practice address
589 S State St Provo UT 84606-5056
Phone: (801) 429-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Todd
Phone: (801) 429-2011

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 7630544-1703 Utah

Profile Details

NPI number 1871812370
LBN Legal business name Mountainlands Family Pharmacy
DBA Doing business as Mountainlands Family Pharmacy
Authorized official Bailey, Todd
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2010
Last updated May 20th, 2024 - about 6 months 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 1871812370 NPPES
Other 4611821 NCPDP PROVIDER IDENTIFICATION NUMBER

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