Midvalley Specialty Pharmacy

LBN: University Of Utah
Midvalley Specialty Pharmacy is an health care organization with primary practice located at 6056 S Fashion Square Dr Ste 1000 Suite 1000, Murray UT 84107-5410. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. University Of Utah can be contacted via phone (801) 213-8650, or through Howell, Kellee K via phone (801) 587-6334.

Contact Information

Primary practice address
6056 S Fashion Square Dr Ste 1000 Suite 1000 Murray UT 84107-5410
Fax: (801) 262-2802
Website:
Authorized official contact:
Name: Howell, Kellee K CPHT

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 97367431703 Utah
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1790147833
LBN Legal business name University Of Utah
DBA Doing business as Midvalley Specialty Pharmacy
Authorized official Howell, Kellee K CPHT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2016
Last updated Mar 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790147833 NPPES
Other 2159504 PK
Other 4613522 PK

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