National Provider Identifier Database

URBAN INDIAN CENTER OF SALT LAKE
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

URBAN INDIAN CENTER OF SALT LAKE
5450 S GREEN ST STE A
SALT LAKE CITY, UT84123-5632
Phone: 801-486-4877
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for URBAN INDIAN CENTER OF SALT LAKE

NPI Number 1073478855
Legal business name
LBN
URBAN INDIAN CENTER OF SALT LAKE
Authorized official WILLIAM POSS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/23/2025
Last updated 12/23/2025 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: 17666

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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