# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IHC HEALTH SERVICES INC
- **Other names:** Intermountain Specialty Pharmacy, Intermountain Home Delivery Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093130031
- **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:** 7268 S BINGHAM JUNCTION BLVD STE B1, MIDVALE, UT 84047-4860
- **Practice address phone:** (801) 284-1114
- **Practice address fax:** (801) 284-1115
- **Mailing address:** PO BOX 30013, SALT LAKE CITY, UT 84130-0013
- **Mailing address phone:** (801) 284-1114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2014
- **Last updated:** 05/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1093130031 | — | ID |
| 05 | — | 1093130031 | — | UT |
| 01 | — | 2144451 | PK | — |