Organization · Type 2 NPI

Wasatch Front LTC Pharmacy

Long Term Care Pharmacy · Draper, UT

NPI number 1760890016 Active

Practice location

11585 S State St Ste 103
Draper, UT 84020-7403

Fax (801) 542-0491

Mailing address

11585 S State St, Ste 103
Draper, UT 84020-7400

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003X9012387-1704 (UT)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1760890016

Wasatch Front LTC Pharmacy's National Provider Identifier is 1760890016, issued on Jul 31, 2014. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Draper, UT. The record was last updated on Jul 31, 2014.