Intermountain Pharmacy #144

LBN: Ihc Health Services, Inc.
Intermountain Pharmacy #144 is an health care organization with primary practice located at 395 W 1230 N Ste 204 , Provo UT 84604-3328. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ihc Health Services, Inc. can be contacted via phone (801) 357-7333, or through Berensen, Nannette via phone (801) 284-1005.

Contact Information

Primary practice address
395 W 1230 N Ste 204 Provo UT 84604-3328
Phone: (801) 357-7333
Fax: (801) 357-7437
Website:
Map and Directions
Authorized official contact:
Name: Berensen, Nannette
Phone: (801) 284-1005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10594981-1703 Utah
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1326155037
LBN Legal business name Ihc Health Services, Inc.
DBA Doing business as Intermountain Pharmacy #144
Authorized official Berensen, Nannette
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 25th, 2006
Last updated Jul 19th, 2018 - about 8 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 1326155037 NPPES
Other 2108195 PK
MEDICAID 1326155037 PK

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