Organization
PROFESSIONAL PHARMACY SERVICES
Active
Other names
PROFESSIONAL PHARMACY SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARC COHEN PHARM D (PRES)
(801) 743-2800
Entity
Organization
Contact information
Practice address
3793 S STATE ST, SALT LAKE CITY, UT 84115-4828
(801) 263-5466
Mailing address
3793 S STATE ST, SALT LAKE CITY, UT 84115-4828
(801) 263-5466
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
66379161704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610398
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2006
Last updated
08/28/2009
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