West Gordon Pharmacy

LBN: West Gordon Pharmacy Inc
West Gordon Pharmacy is an health care organization with primary practice located at 3225 W Gordon Ave Ste 2 , Layton UT 84041-5728. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. West Gordon Pharmacy Inc can be contacted via phone (801) 544-7979, or through Burnett, David via phone (435) 512-2102.

Contact Information

Primary practice address
3225 W Gordon Ave Ste 2 Layton UT 84041-5728
Phone: (801) 544-7979
Fax: (801) 682-8011
Website:
Map and Directions
Authorized official contact:
Name: Burnett, David
Phone: (435) 512-2102

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9221852-1703 Utah
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1528464336
LBN Legal business name West Gordon Pharmacy Inc
DBA Doing business as West Gordon Pharmacy
Authorized official Burnett, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2014
Last updated Dec 3rd, 2019 - 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 1528464336 NPPES
Other 2149549 PK
MEDICAID 1528464336 PK

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