Organization
IHC HEALTH SERVICES, INC.
Active
Other names
Sevier Valley Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BISHOFF (PHARMACY DIRECTOR)
(435) 893-0232
Entity
Organization
Contact information
Practice address
1000 N MAIN ST, RICHFIELD, UT 84701-1857
(435) 893-0232
(435) 893-0540
Mailing address
1000 N MAIN ST, RICHFIELD, UT 84701-1857
(435) 893-0232
(435) 893-0540
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
6381230-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4612392
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
870269232324
—
UT
Enumeration date
11/15/2012
Last updated
11/15/2012
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