NPI 1861780439 · live from the CMS NPI Registry
Birch Pharmaceutical LLC
Pharmacy, Community/Retail Pharmacy in Tooele, UT. National Provider Identifier 1861780439, active.
NPI record
| NPI | 1861780439 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 6727 N. Hwy 36, Tooele, UT 84074 |
| Practice phone | 435-882-8880 |
| Mailing address | 4776 N Autumncove, Erda, UT 84074 |
| Enumerated | July 18, 2011 |
| Last updated | August 24, 2023 |
| Authorized official | Sheldon Birch, Owner |
| Other names | Birch Family Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | 8055593-1703 (UT) |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.