<Unavail>

LBN: Pc Pharmacy At The Clinic Inc
<Unavail> is an health care organization with primary practice located at 1665 Bonanza Dr , Park City UT 84060. 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. Pc Pharmacy At The Clinic Inc can be contacted via phone (435) 658-5051, or through Black, Kristy via phone (435) 658-5051.

Contact Information

Primary practice address
1665 Bonanza Dr Park City UT 84060
Phone: (435) 658-5051
Fax: (435) 658-5093
Website:
Map and Directions
Authorized official contact:
Name: Black, Kristy
Phone: (435) 658-5051

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 60427351703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124132113
LBN Legal business name Pc Pharmacy At The Clinic Inc
DBA Doing business as <Unavail>
Authorized official Black, Kristy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Sep 11th, 2025 - about last year

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 1124132113 NPPES
Other 4609547 OTHER ID NUMBER-COMMERCIAL NUMBER

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