# EVEREST PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Everest Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669767356
- **Authorized official:** DAVID DIEHL (PHARMACIST IN CHARGE)
- **Authorized official phone:** (888) 702-1197

## Contact information

- **Practice address:** 9883 S 500 W, SANDY, UT 84070-2561
- **Practice address phone:** (801) 727-1964
- **Practice address fax:** (888) 520-8838
- **Mailing address:** 9883 S 500 W, SANDY, UT 84070-2561
- **Mailing address phone:** (877) 540-4748
- **Mailing address fax:** (877) 217-4934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 79911841703 | UT | Yes |

## Other

- **Enumeration date:** 06/10/2011
- **Last updated:** 07/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2130078 | PK | — |
