# IHC HEALTH SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IHC HEALTH SERVICES INC
- **Other names:** LOGAN CLINIC PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053575175
- **Legal business name:** IHC HEALTH SERVICES INC
- **Authorized official:** NANNETTE BERENSEN (VICE PRESIDENT OF CLINICAL SYSTEMS)
- **Authorized official phone:** (801) 284-1005

## Contact information

- **Practice address:** 412 N 200 E, LOGAN, UT 84321-4038
- **Practice address phone:** (435) 713-2770
- **Practice address fax:** (435) 713-2787
- **Mailing address:** PO BOX 30013, SALT LAKE CITY, UT 84130-0013
- **Mailing address phone:** (435) 713-2770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 70157141703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053575175 | — | ID |
| 05 | — | 1053575175 | — | UT |
| 01 | — | 2100988 | PK | — |