Organization
4CARE PHARMACY SERVICES LLC
Active
Other names
4 CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ANDERSON (SENIOR TECH)
(801) 336-3690
Entity
Organization
Contact information
Practice address
109 W GENTILE ST, LAYTON, UT 84041-3000
(801) 336-3690
(801) 336-3001
Mailing address
109 W GENTILE ST, LAYTON, UT 84041-3000
(801) 336-3690
(801) 336-3001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
6187825-1704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100834
PK
—
05
—
2700447
—
OH
05
—
807641300
—
ID
05
—
8535330
—
SD
Enumeration date
06/21/2006
Last updated
08/25/2014
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