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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 Sevier Valley 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
1000 N MAIN ST, RICHFIELD, UT 84701-2061
(435) 893-0690
(435) 893-0695
Mailing address
PO BOX 30013, SALT LAKE CITY, UT 84130-0013
(435) 893-0690
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8822803-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366871410
—
UT
01
—
2142794
PK
—
Enumeration date
11/08/2013
Last updated
07/19/2018
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