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Organization
PARK CITY MEDICAL CENTER
Active
Organization
PARK CITY MEDICAL CENTER
Active
Other names
Park City Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA POND (PHARMACY DIRECTOR/PIC)
(435) 658-7280
Entity
Organization
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7275
(435) 658-7276
Mailing address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7275
(435) 658-7276
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
7287856-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612291
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/24/2012
Last updated
09/24/2012
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