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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 American Fork 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
98 N 1100 E STE 101, AMERICAN FORK, UT 84003-2940
(801) 855-2935
(801) 855-2938
Mailing address
PO BOX 30013, SALT LAKE CITY, UT 84130-0013
(801) 855-2935
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
89805441703
UT
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265549984
—
UT
01
—
2101177
PK
—
Enumeration date
08/25/2006
Last updated
07/19/2018
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