Organization · Type 2 NPI

Ihc Health Services Inc

Community/Retail Pharmacy · Ogden, UT

NPI number 1417064122 Active

Practice location

4401 Harrison Blvd
Ogden, UT 84403-3195

Call (801) 387-7500 Map

Fax (801) 387-7505

Mailing address

PO Box 30013
Salt Lake City, UT 84130-0013

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	50543371703 (UT)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

325 other providers at this address

Other community/retail pharmacy providers in Ogden

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NPI record

NPI: 1417064122
Entity type: Organization (Type 2)
Issued: Aug 25, 2006
Last updated: Sep 19, 2025
Status: Active
Subpart: Yes of Ihc Health Services Inc

Other names

<unavail>
L T Dee Pharmacy · doing business as

Authorized official

Nannette Berensen
Vice President of Clinical Systems
(801) 284-1005

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417064122

Ihc Health Services Inc's National Provider Identifier is 1417064122, issued on Aug 25, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ogden, UT. The record was last updated on Sep 19, 2025.