National Provider Identifier Database

PARK CITY CLINIC PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PARK CITY CLINIC PHARMACY
750 ROUND VALLEY DR
203
PARK CITY, UT84098
Phone: 435-644-2702
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PARK CITY CLINIC PHARMACY

NPI Number 1245521954
Legal business name
LBN
PARK CITY CLINIC PHARMACY
Authorized official KORTNEY STIRLAND - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/28/2011
Last updated 04/28/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 7955094-1703

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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