Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BIRCH PHARMACEUTICAL LLC
Active
Organization
BIRCH PHARMACEUTICAL LLC
Active
Other names
Birch Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON BIRCH PHARMD (OWNER)
(435) 882-7775
Entity
Organization
Contact information
Practice address
6727 N. HWY 36, TOOELE, UT 84074
(435) 882-8880
(435) 882-8881
Mailing address
4776 N AUTUMNCOVE, ERDA, UT 84074-9372
(435) 882-8880
(435) 882-8881
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8055593-1703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861780439
—
UT
01
—
4612049
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
6713400001
MEDICARE
UT
Enumeration date
07/18/2011
Last updated
08/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers