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Contact Information

PARK CITY CLINIC PHARMACY
750 ROUND VALLEY DR
203
PARK CITY, UT84098
 Phone: 435-644-2702
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PARK CITY CLINIC PHARMACY

NPI # 1245521954
LBN Legal business name PARK CITY CLINIC PHARMACY
Authorized official KORTNEY STIRLAND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2011
Last updated 04/28/2011 - About 15 years ago
Identifiers
UT License # 7955094-1703
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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