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Contact Information

SKYLINE PHARMACY INC.
1 W MAIN ST
MOUNT PLEASANT, UT84647-1327
 Phone: 435-462-2434
 Fax: 435-462-3400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SKYLINE PHARMACY INC.

NPI # 1356426753
LBN Legal business name SKYLINE PHARMACY INC.
Authorized official DAVID BLACKHAM - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 11/12/2007 - About 19 years ago
Identifiers
UT License # 131751-1703
UT Medicaid 840437031001
UT Other 4606301 NABP#
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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