Canyon View Pharmacy

LBN: Diversified Professional Company
Canyon View Pharmacy is an health care organization with primary practice located at 1159 E 12Th Street , Ogden UT 84404-5144. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Diversified Professional Company can be contacted via phone (801) 334-3190, or through Bailey, Gary Lynn via phone (801) 334-3190.

Contact Information

Primary practice address
1159 E 12Th Street Ogden UT 84404-5144
Phone: (801) 334-3190
Fax: (801) 334-3193
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Gary Lynn RPH
Phone: (801) 334-3190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1487736161
LBN Legal business name Diversified Professional Company
DBA Doing business as Canyon View Pharmacy
Authorized official Bailey, Gary Lynn RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 22nd, 2020 - 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 1487736161 NPPES
Utah MEDICAID 870218488006

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