# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intermountain Pharmacy \#128
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982711693
- **Authorized official:** NANNETTE BERENSEN (VP COO SHARED CLINICAL SERVICES)
- **Authorized official phone:** (801) 507-8002

## Contact information

- **Practice address:** 8TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
- **Practice address phone:** (801) 408-1019
- **Practice address fax:** (801) 408-5172
- **Mailing address:** PO BOX 30013, SALT LAKE CITY, UT 84130-0013

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 01/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1982711693 | — | ID |
| 05 | — | 1982711693 | — | NV |
| 05 | — | 1982711693 | — | UT |
| 01 | — | 2107617 | PK | — |