# HOLLADAY PHARMACEUTICAL LLC

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

## Provider details

- **NPI number:** 1881915957
- **Authorized official:** PENNY JO GUSTAFSON (MANAGER)
- **Authorized official phone:** (801) 756-4021

## Contact information

- **Practice address:** 406 N STATE ST, OREM, UT 84057-3802
- **Practice address phone:** (801) 434-7670
- **Practice address fax:** (801) 434-7669
- **Mailing address:** 76 N 1100 E, AMERICAN FORK, UT 84003-2952
- **Mailing address phone:** (801) 434-7670
- **Mailing address fax:** (801) 434-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7686605-1703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 05/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1881915957 | — | UT |
| 01 | — | 2125523 | PK | — |