South Valley Compounding Pharmacy
LBN: South Valley Compounding Pharmacy Llc
South Valley Compounding Pharmacy is an health care organization with primary practice located at 3796 W 12600 S , Riverton UT 84065-7215. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
South Valley Compounding Pharmacy Llc can be contacted via phone (801) 676-7880, or through Smith, Bart via phone (801) 676-7880.
Contact Information
Primary practice address
3796 W 12600 S
Riverton UT 84065-7215
Phone: (801) 676-7880
Fax: (801) 676-7883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9436474-1703 | Utah |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1013148071 |
|---|---|
| LBN Legal business name | South Valley Compounding Pharmacy Llc |
| DBA Doing business as | South Valley Compounding Pharmacy |
| Authorized official | Smith, Bart PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Oct 2nd, 2021 - about 3 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 | 1013148071 | NPPES |
| Utah | MEDICAID | 1013148071 | |
| Utah | Other | 2121956 |
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