Cedar Valley Pharmacy
LBN: Pioneer Drug Llc
Cedar Valley Pharmacy is an health care organization with primary practice located at 3435 E Pony Express Parkway Suite 150, Eagle Mountain UT 84005. 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.
Pioneer Drug Llc can be contacted via phone (801) 753-5100, or through Birch, Sheldon via phone (435) 882-7775.
Contact Information
Primary practice address
3435 E Pony Express Parkway Suite 150
Eagle Mountain UT 84005
Phone: (801) 753-5100
Fax: (801) 753-5101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1689238479 |
---|---|
LBN Legal business name | Pioneer Drug Llc |
DBA Doing business as | Cedar Valley Pharmacy |
Authorized official | Birch, Sheldon PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 26th, 2019 |
Last updated | Aug 24th, 2023 - about 2 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 | 1689238479 | NPPES |
Utah | Other | 1689238479 | MEDICARE |
Utah | MEDICAID | 1689238479 | MEDICARE |
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