# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IHC HEALTH SERVICES INC
- **Other names:** MANTI PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467549667
- **Legal business name:** IHC HEALTH SERVICES INC
- **Authorized official:** NANNETTE BERENSEN (VICE PRESIDENT OF CLINICAL SYSTEMS)
- **Authorized official phone:** (801) 284-1005

## Contact information

- **Practice address:** 159 N MAIN ST, MANTI, UT 84642-1257
- **Practice address phone:** (435) 835-4225
- **Practice address fax:** (435) 835-4227
- **Mailing address:** PO BOX 30013, SALT LAKE CITY, UT 84130-0013
- **Mailing address phone:** (435) 835-4225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 61361651703 | UT | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1467549667 | — | UT |
| 01 | — | 2100897 | PK | — |