Organization
COMMUNTIY PHARMACY
Active
Other names
COMMUNITY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
REED JENSEN B.S. (OWNER)
(801) 270-0600
Entity
Organization
Contact information
Practice address
1220 E 3900 S, STE 1H, SALT LAKE CITY, UT 84124-1377
(801) 270-0600
(801) 270-0605
Mailing address
1220 E 3900 S, STE 1H, SALT LAKE CITY, UT 84124-1377
(801) 270-0600
(801) 270-0605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3649031703
UT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4607620
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/12/2006
Last updated
10/15/2009
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