Petersons Pharmacy

LBN: Peterson Foodtown Inc
Petersons Pharmacy is an health care organization with primary practice located at 1777 W 12600 S , Riverton UT 84065-7043. 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. Peterson Foodtown Inc can be contacted via phone (801) 254-0809, or through Peterson, Monte via phone (801) 254-0761.

Contact Information

Primary practice address
1777 W 12600 S Riverton UT 84065-7043
Phone: (801) 254-0809
Fax: (801) 254-5982
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Monte RPH
Phone: (801) 254-0761

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6120204-1703 Utah

Profile Details

NPI number 1598776148
LBN Legal business name Peterson Foodtown Inc
DBA Doing business as Petersons Pharmacy
Authorized official Peterson, Monte RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 22nd, 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 1598776148 NPPES
Other 4610514 NCPDP PROVIDER IDENTIFICATION NUMBER

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