Holt'S Pharmacy

LBN: Holt'S Pharmacy
Holt'S Pharmacy is an health care organization with primary practice located at 134 W 1180 N Ste 12 , Tooele UT 84074-1483. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Holt'S Pharmacy can be contacted via phone (435) 249-0767, or through Holt, Rebecca Christine via phone (435) 249-0767.

Contact Information

Primary practice address
134 W 1180 N Ste 12 Tooele UT 84074-1483
Phone: (435) 249-0767
Fax: (435) 249-0754
Website:
Map and Directions
Authorized official contact:
Name: Holt, Rebecca Christine
Phone: (435) 249-0767

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1063853547
LBN Legal business name Holt'S Pharmacy
DBA Doing business as
Authorized official Holt, Rebecca Christine
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2013
Last updated Mar 17th, 2022 - about 4 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 1063853547 NPPES
Utah MEDICAID 1063853547

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