Pharmacy At Park City Clinic
LBN: Pharmacy At Park City Clinic
Pharmacy At Park City Clinic is an health care organization with primary practice located at 1665 Bonanza Dr , Park City UT 84060-5127. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pharmacy At Park City Clinic can be contacted via phone (435) 776-9312, or through Stirland, Kortney via phone (435) 644-2702.
Contact Information
Primary practice address
1665 Bonanza Dr
Park City UT 84060-5127
Phone: (435) 776-9312
Fax: (435) 776-9317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8088270-1703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1730462110 |
|---|---|
| LBN Legal business name | Pharmacy At Park City Clinic |
| DBA Doing business as | Pharmacy At Park City Clinic |
| Authorized official | Stirland, Kortney RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2011 |
| Last updated | Feb 17th, 2012 - about 12 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 | 1730462110 | NPPES |
| Other | 4612102 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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