Cedar Valley Pharmacy

LBN: Pioneer Drug Llc
Cedar Valley Pharmacy is an health care organization with primary practice located at 3435 E Pony Express Parkway Suite 150, Eagle Mountain UT 84005. 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. Pioneer Drug Llc can be contacted via phone (801) 753-5100, or through Birch, Sheldon via phone (435) 882-7775.

Contact Information

Primary practice address
3435 E Pony Express Parkway Suite 150 Eagle Mountain UT 84005
Phone: (801) 753-5100
Fax: (801) 753-5101
Website:
Map and Directions
Authorized official contact:
Name: Birch, Sheldon PHARMD
Phone: (435) 882-7775

Health care specialties

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

Profile Details

NPI number 1689238479
LBN Legal business name Pioneer Drug Llc
DBA Doing business as Cedar Valley Pharmacy
Authorized official Birch, Sheldon PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2019
Last updated Aug 24th, 2023 - about 3 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 1689238479 NPPES
Utah Other 1689238479 MEDICARE
Utah MEDICAID 1689238479 MEDICARE

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