Organization
PARK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS LEWIS (PRESIDENT)
(801) 373-6043
Entity
Organization
Contact information
Practice address
1591 W CENTER ST, PROVO, UT 84601-3936
(801) 373-6043
(801) 373-6253
Mailing address
1591 W CENTER ST, PROVO, UT 84601-3936
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1333221703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4607555
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
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