Organization · Type 2 NPI

Ihc Health Services Inc

Community/Retail Pharmacy · Riverton, UT

NPI number 1649401969 Active

Practice location

3723 W 12600 S Ste 170
Riverton, UT 84065-7296

Call (801) 285-4500 Map

Fax (801) 285-4501

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	7359499-1703 (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 …

Another provider at this address

Austin Donald Reese, PharmDPharmacist Riverton, UT NPI 1568925196

Other community/retail pharmacy providers in Riverton

See all in Riverton →

NPI record

NPI: 1649401969
Entity type: Organization (Type 2)
Issued: Aug 4, 2009
Last updated: Jul 19, 2018
Status: Active
Subpart: Yes of Ihc Health Services Inc

Other names

<unavail>
Intermountain Southridge Pharmacy · doing business as

Authorized official

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

Verify this record

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 1649401969

Ihc Health Services Inc's National Provider Identifier is 1649401969, issued on Aug 4, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Riverton, UT. The record was last updated on Jul 19, 2018.