Basin Family Pharmacy

LBN: Basin Family Pharmacy
Basin Family Pharmacy is an health care organization with primary practice located at 245 W Highway 40 , Roosevelt UT 84066-3712. 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. Basin Family Pharmacy can be contacted via phone (435) 722-2454, or through Luke, Jeffrey via phone (435) 722-2454.

Contact Information

Primary practice address
245 W Highway 40 Roosevelt UT 84066-3712
Phone: (435) 722-2454
Fax: (435) 722-4191
Website:
Map and Directions
Authorized official contact:
Name: Luke, Jeffrey RPH
Phone: (435) 722-2454

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4905987-1703 Utah

Profile Details

NPI number 1316042179
LBN Legal business name Basin Family Pharmacy
DBA Doing business as Basin Family Pharmacy
Authorized official Luke, Jeffrey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 10th, 2013 - about 13 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 1316042179 NPPES
Other 2106870 PK

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