Organization
RED BEAKER INC
Active
Other names
EDGEMONT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CHAMBERLAIN RPH (OWNER / RPH)
(801) 226-7994
Entity
Organization
Contact information
Practice address
3661 N CANYON RD, PROVO, UT 84604-4536
(801) 226-7994
(801) 226-2166
Mailing address
3661 N CANYON RD, PROVO, UT 84604-4536
(801) 226-7994
(801) 226-2166
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
45500841703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107781
PK
—
05
—
870349306009
—
UT
Enumeration date
07/04/2006
Last updated
07/19/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up