# OAK HILLS PHARMACY LLC

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

## Provider details

- **NPI number:** 1730679085
- **Authorized official:** MIKE CHAMBERLAIN (RPH / OWNER)
- **Authorized official phone:** (801) 560-7095

## Contact information

- **Practice address:** 1750 N WYMOUNT TERRACE DR, PROVO, UT 84602-7600
- **Practice address phone:** (801) 422-5171
- **Practice address fax:** (801) 422-0812
- **Mailing address:** 1750 N WYMOUNT TERRACE DR, PROVO, UT 84602-7600
- **Mailing address phone:** (801) 422-5171
- **Mailing address fax:** (801) 422-0812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10752535-1703 | UT | Yes |

## Other

- **Enumeration date:** 05/12/2018
- **Last updated:** 08/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2177305 | PK | — |