Organization
PC PHARMACY AT THE CLINIC INC
Active
Other names
PARK CITY PHCY AT THE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY BLACK (OWNER)
(435) 658-5051
Entity
Organization
Contact information
Practice address
1665 BONANZA DR, PARK CITY, UT 84060
(435) 658-5051
(435) 658-5093
Mailing address
PO BOX 680772, PARK CITY, UT 84068-0772
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
60427351703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4609547
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/18/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us