Organization
WASATCH HOMELESS HEALTH CARE, INC.
Active
Other names
4th Street Pharmacy, 4th Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANIDA EMERSON CEO (CHIEF EXECUTIVE OFFICER)
(801) 364-0058
Entity
Organization
Contact information
Practice address
409 WEST 400 SOUTH, SALT LAKE, UT 84101
(385) 234-5708
(801) 433-0153
Mailing address
409 WEST 400 SOUTH, SALT LAKE, UT 84101
(385) 234-5708
(801) 433-0153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528128899
—
UT
Enumeration date
08/06/2019
Last updated
12/02/2025
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