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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Parent organization
IHC HEALTH SERVICES INC
Other names
Intermountain Specialty Pharmacy, Intermountain Home Delivery Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
IHC HEALTH SERVICES INC
Authorized official
NANNETTE BERENSEN (VICE PRESIDENT OF CLINICAL SYSTEMS)
(801) 284-1005
Entity
Organization
Contact information
Practice address
7268 S BINGHAM JUNCTION BLVD STE B1, MIDVALE, UT 84047-4860
(801) 284-1114
(801) 284-1115
Mailing address
PO BOX 30013, SALT LAKE CITY, UT 84130-0013
(801) 284-1114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093130031
—
ID
05
—
1093130031
—
UT
01
—
2144451
PK
—
Enumeration date
02/27/2014
Last updated
05/29/2024
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