Organization
PARK CITY MEDICAL CENTER
Active
Other names
Park City Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA POND (PHARMACY DIRECTOR/PIC)
(435) 658-7280
Entity
Organization
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7275
(435) 658-7276
Mailing address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7275
(435) 658-7276
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
7287856-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612291
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/24/2012
Last updated
09/24/2012
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