Organization
CRJ HEALTH SERVICES, INC
Active
Other names
WASATCH PHARMACY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE R JACOBSON-WARE RPH (OWNER)
(801) 479-0331
Entity
Organization
Contact information
Practice address
1028 CHAMBERS ST STE A, OGDEN, UT 84403-5181
(801) 479-0331
(855) 273-1877
Mailing address
1028 CHAMBERS ST STE A, OGDEN, UT 84403-5181
(801) 479-0331
(855) 273-1877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
48081501703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4693342
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2006
Last updated
01/14/2021
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