# ALPINE PED CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407767759
- **Authorized official:** RICHARD CARLYLE (MANAGER)
- **Authorized official phone:** (801) 763-6985

## Contact information

- **Practice address:** 3668 W 2150 N STE 100, LEHI, UT 84048-7798
- **Practice address phone:** (801) 763-6985
- **Mailing address:** 3668 W 2150 N STE 100, LEHI, UT 84048-7798

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2026
- **Last updated:** 09/15/2026