Park Pharmacy Inc

LBN: Park Pharmacy Inc
Park Pharmacy Inc is an health care organization with primary practice located at 1591 W Center St , Provo UT 84601-3936. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Park Pharmacy Inc can be contacted via phone (801) 373-6043, or through Lewis, Ellis via phone (801) 373-6043.

Contact Information

Primary practice address
1591 W Center St Provo UT 84601-3936
Phone: (801) 373-6043
Fax: (801) 373-6253
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Ellis
Phone: (801) 373-6043

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1333221703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1215948708
LBN Legal business name Park Pharmacy Inc
DBA Doing business as
Authorized official Lewis, Ellis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 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 1215948708 NPPES
Other 4607555 OTHER ID NUMBER-COMMERCIAL NUMBER

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