Organization
COMMUNITY HEALTH CENTERS, INC.
Active
Other names
72nd Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMAS (CEO)
(801) 891-4094
Entity
Organization
Contact information
Practice address
220 W 7200 S STE A, MIDVALE, UT 84047-1053
(801) 892-1028
(801) 206-3368
Mailing address
1455 W 2200 S STE 300, WEST VALLEY CITY, UT 84119-7219
(801) 412-6920
(877) 497-4661
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
03/06/2026
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