# COMMUNTIY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073548699
- **Authorized official:** REED JENSEN B.S. (OWNER)
- **Authorized official phone:** (801) 270-0600

## Contact information

- **Practice address:** 1220 E 3900 S, STE 1H, SALT LAKE CITY, UT 84124-1377
- **Practice address phone:** (801) 270-0600
- **Practice address fax:** (801) 270-0605
- **Mailing address:** 1220 E 3900 S, STE 1H, SALT LAKE CITY, UT 84124-1377
- **Mailing address phone:** (801) 270-0600
- **Mailing address fax:** (801) 270-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 3649031703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 10/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4607620 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |