Stoneridge Pharmacy

LBN: Stoneridge Pharmacy Llc
Stoneridge Pharmacy is an health care organization with primary practice located at 2235 S 1300 W , West Valley City UT 84119-7241. 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. Stoneridge Pharmacy Llc can be contacted via phone (801) 419-9388, or through Hanks, Zach via phone (801) 419-9388.

Contact Information

Primary practice address
2235 S 1300 W West Valley City UT 84119-7241
Phone: (801) 419-9388
Fax: (480) 393-7663
Website:
Map and Directions
Authorized official contact:
Name: Hanks, Zach
Phone: (801) 419-9388

Health care specialties

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

Profile Details

NPI number 1134617889
LBN Legal business name Stoneridge Pharmacy Llc
DBA Doing business as Stoneridge Pharmacy
Authorized official Hanks, Zach
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2018
Last updated Jul 19th, 2018 - about 6 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 1134617889 NPPES
Other 2177412 PK

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