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Organization
REAMS PHARMACY INC
Active
Organization
REAMS PHARMACY INC
Active
Other names
Reams Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORA CHISHOLM (OWNER/PRESIDENT)
(801) 485-0054
Entity
Organization
Contact information
Practice address
2783 S STATE ST, SALT LAKE CITY, UT 84115-3634
(801) 485-0054
(801) 485-0060
Mailing address
PO BOX 670, DRAPER, UT 84020-0670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
8118754-1703
UT
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497023675
—
UT
01
—
2137109
PK
—
Enumeration date
12/02/2011
Last updated
07/03/2013
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