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Contact Information

ASPEN RIDGE PHARMACY LLC
515 N MAIN ST
MONROE, UT84754-3115
 Phone: 435-527-1300
 Fax: 435-527-0913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ASPEN RIDGE PHARMACY LLC

NPI # 1932527124
LBN Legal business name ASPEN RIDGE PHARMACY LLC
Authorized official GARY BARBEN - (OWNER - CHIEF PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2014
Last updated 12/02/2021 - About 5 years ago
Identifiers
UT License # 8945979-1703
UT Medicaid 1932527124
Other 2145191 PK
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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