Skyline Pharmacy Inc.

LBN: Skyline Pharmacy Inc.
Skyline Pharmacy Inc. is an health care organization with primary practice located at 1 W Main St , Mt Pleasant UT 84647-1327. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Skyline Pharmacy Inc. can be contacted via phone (435) 462-2434, or through Blackham, David Howard via phone (435) 462-2434.

Contact Information

Primary practice address
1 W Main St Mt Pleasant UT 84647-1327
Phone: (435) 462-2434
Fax: (435) 462-3400
Website:
Map and Directions
Authorized official contact:
Name: Blackham, David Howard RPH
Phone: (435) 462-2434

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 131751-1703 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X 131751-1703 Utah
Suppliers / Compounding Pharmacy 3336C0004X 131751-1703 Utah
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 131751-1703 Utah

Profile Details

NPI number 1356426753
LBN Legal business name Skyline Pharmacy Inc.
DBA Doing business as
Authorized official Blackham, David Howard RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Nov 12th, 2007 - about 19 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 1356426753 NPPES
Utah Other 4606301 NABP#
Utah MEDICAID 840437031001 NABP#

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