Organization
IHC HEALTH SERVICES INC
Active
Parent organization
IHC HEALTH SERVICES INC
Other names
Intermountain Specialty Pharmacy, Intermountain Home Delivery Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
IHC HEALTH SERVICES INC
Authorized official
NANNETTE MIGNON BERENSEN (CHIEF OPERATING OFFICER)
(801) 507-8002
Entity
Organization
Contact information
Practice address
7268 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047-4860
(855) 779-3960
(801) 442-4179
Mailing address
PO BOX 30013, SALT LAKE CITY, UT 84130-0013
(855) 779-3960
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
8858671-1703
UT
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508119918
—
ID
05
—
1508119918
—
UT
01
—
2137364
PK
—
Enumeration date
10/23/2012
Last updated
05/29/2024
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