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Organization
MEDICAL CENTER PHARMACY INC
Active
Organization
MEDICAL CENTER PHARMACY INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA BALDWIN PHARMD (PRESIDENT)
(801) 350-8140
Entity
Organization
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-8140
(801) 350-4791
Mailing address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-8140
(801) 350-4791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
3712351703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608583
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
841379675007
—
UT
Enumeration date
05/31/2005
Last updated
09/01/2020
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