South Jordan Daybreak Pharmacy

LBN: University Of Utah
South Jordan Daybreak Pharmacy is an health care organization with primary practice located at 4696 Daybreak Rim Way , South Jordan UT 84095-5129. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. University Of Utah can be contacted via phone (801) 213-4550, or through Kelly, Michael via phone (801) 587-6325.

Contact Information

Primary practice address
4696 Daybreak Rim Way South Jordan UT 84095-5129
Phone: (801) 213-4550
Fax: (801) 213-4555
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Michael
Phone: (801) 587-6325

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 7824017-1703 Utah

Profile Details

NPI number 1275838575
LBN Legal business name University Of Utah
DBA Doing business as South Jordan Daybreak Pharmacy
Authorized official Kelly, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2011
Last updated Mar 29th, 2011 - about 15 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 1275838575 NPPES
Other 4611922 NCPDP PROVIDER IDENTIFICATION NUMBER

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