Organization
MEDICAL CENTER PHARMACY INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA BALDWIN PHARMD (PRESIDENT)
(801) 350-8140
Entity
Organization
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-8140
(801) 350-4791
Mailing address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-8140
(801) 350-4791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3712351703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608583
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
841379675007
—
UT
Enumeration date
05/31/2005
Last updated
09/01/2020
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