# 4CARE PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 4 CARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629014519
- **Authorized official:** AMY ANDERSON (SENIOR TECH)
- **Authorized official phone:** (801) 336-3690

## Contact information

- **Practice address:** 109 W GENTILE ST, LAYTON, UT 84041-3000
- **Practice address phone:** (801) 336-3690
- **Practice address fax:** (801) 336-3001
- **Mailing address:** 109 W GENTILE ST, LAYTON, UT 84041-3000
- **Mailing address phone:** (801) 336-3690
- **Mailing address fax:** (801) 336-3001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 6187825-1704 | UT | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 08/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100834 | PK | — |
| 05 | — | 2700447 | — | OH |
| 05 | — | 807641300 | — | ID |
| 05 | — | 8535330 | — | SD |