Organization
UPSCRIPT PHARMACY, LLC
Active
Other names
UpScript Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIMICK PHARMACIST (CPO-PHARMACIST IN CHARGE)
(801) 262-6601
Entity
Organization
Contact information
Practice address
9826 S JORDAN GTWY, SANDY, UT 84070-9509
(801) 262-6601
(801) 561-5115
Mailing address
9826 S JORDAN GTWY, SANDY, UT 84070-9509
(855) 289-3552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
84491001704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12533283-1704
MAIL ORDER PHARMACY
UT
01
—
125332831704
CASH
UT
01
—
4612431
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/03/2012
Last updated
06/04/2024
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