NPI 1073548699 · live from the CMS NPI Registry
Communtiy Pharmacy
Pharmacy, Community/Retail Pharmacy in Salt Lake City, UT. National Provider Identifier 1073548699, active.
NPI record
| NPI | 1073548699 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1220 E 3900 S, Ste 1h, Salt Lake City, UT 84124 |
| Practice phone | 801-270-0600 |
| Enumerated | July 12, 2006 |
| Last updated | October 15, 2009 |
| Authorized official | Reed Jensen, Owner |
| Other names | Community Pharmacy INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 3649031703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.