# MOUNTAIN WEST MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MountainWest Apothecary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972665396
- **Authorized official:** MRS. JULIE SUZANNE LINDBERG PHARM D. (OWNER/PHARMACIST)
- **Authorized official phone:** (801) 295-6979

## Contact information

- **Practice address:** 1551 S RENAISSANCE TOWNE DR, SUITE 104, BOUNTIFUL, UT 84010
- **Practice address phone:** (801) 295-6979
- **Practice address fax:** (801) 295-6989
- **Mailing address:** 1551 S RENAISSANCE TOWNE DR, SUITE 104, BOUNTIFUL, UT 84010
- **Mailing address phone:** (801) 295-6979
- **Mailing address fax:** (801) 295-6989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 5731786-1703 | UT | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 10/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201309057001 | — | UT |