Organization
MOUNTAINLANDS FAMILY PHARMACY - WASATCH
Active
Parent organization
MOUNTAINLANDS COMMINITY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINLANDS COMMINITY HEALTH CENTER
Authorized official
MR. TODD BAILEY (CEO)
(801) 429-2000
Entity
Organization
Contact information
Practice address
750 N 200 W, SUITE 201, PROVO, UT 84601-3539
(801) 429-2000
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2020
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
UT
Other
Enumeration date
01/22/2014
Last updated
03/27/2025
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