Organization
WASATCH HOMELESS HEALTH CARE, INC.
Active
Other names
Fourth Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JANIDA EMERSON (CEO)
(801) 364-0058
Entity
Organization
Contact information
Practice address
409 WEST 400 SOUTH, SALT LAKE, UT 84101-8410
(801) 333-8628
(801) 433-0153
Mailing address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 333-8628
(801) 433-0153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
49490201703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4695613
OTHER ID NUMBER
—
Enumeration date
08/17/2007
Last updated
12/02/2025
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