Organization
MOUNTAIN CARE PHARMACY LLC
Active
Other names
MOUNTAIN CARE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JARED STONG PHRMD (OWNER)
(801) 747-7191
Entity
Organization
Contact information
Practice address
1030 W BELLWOOD LN, MURRAY, UT 84123-4494
(801) 747-7191
(801) 747-7192
Mailing address
1030 W BELLWOOD LN, MURRAY, UT 84123-4494
(801) 747-7191
(801) 747-7192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
7478838-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100918
PK
—
Enumeration date
04/06/2007
Last updated
09/27/2013
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