# MOUNTAIN CARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNTAIN CARE PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205959335
- **Authorized official:** JARED STONG PHRMD (OWNER)
- **Authorized official phone:** (801) 747-7191

## Contact information

- **Practice address:** 1030 W BELLWOOD LN, MURRAY, UT 84123-4494
- **Practice address phone:** (801) 747-7191
- **Practice address fax:** (801) 747-7192
- **Mailing address:** 1030 W BELLWOOD LN, MURRAY, UT 84123-4494
- **Mailing address phone:** (801) 747-7191
- **Mailing address fax:** (801) 747-7192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 7478838-1704 | UT | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 09/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100918 | PK | — |