Stewarts Basin Family Pharmacy

LBN: Stewart Pharmacy, Llc
Stewarts Basin Family Pharmacy is an health care organization with primary practice located at 245 W Highway 40 , Roosevelt UT 84066-3712. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Stewart Pharmacy, Llc can be contacted via phone (435) 722-2454, or through Luke, Brandon via phone (435) 722-2454.

Contact Information

Primary practice address
245 W Highway 40 Roosevelt UT 84066-3712
Phone: (435) 722-2454
Fax: (435) 722-4191
Website:
Map and Directions
Authorized official contact:
Name: Luke, Brandon PHARMD
Phone: (435) 722-2454

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9534004-1703 Utah

Profile Details

NPI number 1124499553
LBN Legal business name Stewart Pharmacy, Llc
DBA Doing business as Stewarts Basin Family Pharmacy
Authorized official Luke, Brandon PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2015
Last updated May 5th, 2016 - about 10 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 1124499553 NPPES
Utah Other 9534004-1703 STATE LICENSE

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