Fourth Street Pharmacy

LBN: Wasatch Homeless Health Care, Inc.
Fourth Street Pharmacy is an health care organization with primary practice located at 409 West 400 South , Salt Lake UT 84101-8410. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Wasatch Homeless Health Care, Inc. can be contacted via phone (801) 333-8628, or through Michalski, Laura via phone (801) 364-0058.

Contact Information

Primary practice address
409 West 400 South Salt Lake UT 84101-8410
Phone: (801) 333-8628
Fax: (801) 433-0153
Website:
Map and Directions
Authorized official contact:
Name: Michalski, Laura
Phone: (801) 364-0058

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 49490201703 Utah

Profile Details

NPI number 1720270275
LBN Legal business name Wasatch Homeless Health Care, Inc.
DBA Doing business as Fourth Street Pharmacy
Authorized official Michalski, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Jun 23rd, 2020 - about 5 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 1720270275 NPPES
Other 4695613 OTHER ID NUMBER

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