Organization
PHARMACY SERVICES LLC
Active
Other names
FIVE STAR SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN NICHOLS (OWNER)
(801) 302-8555
Entity
Organization
Contact information
Practice address
2235 S 1300 W STE D, SALT LAKE CITY, UT 84119-7242
(801) 302-8555
(801) 302-8600
Mailing address
PO BOX 26667, SALT LAKE CITY, UT 84126-0667
(801) 302-8555
(801) 302-8600
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
8184721-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101153
PK
—
Enumeration date
10/11/2006
Last updated
07/02/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up