Utah State Developmental Center Pharmacy in American Fork - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Utah State Developmental Center Pharmacy - NPI 1164435129
Utah State Developmental Center Pharmacy is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in American Fork, Utah. Utah State Developmental Center Pharmacy practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Utah State Developmental Center Pharmacy is 1164435129. The last update date is 2020-08-22.
Utah State Developmental Center Pharmacy's current location address is 895 N 900 E, American Fork, Utah. You can contact this provider via phone number 8017634036 and fax number 8017634073. The mailing address for Utah State Developmental Center Pharmacy is 895 N 900 E, American Fork, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Utah State Developmental Center Pharmacy |
|---|---|
| Address | 895 N 900 E, American Fork, Utah |
| Phone Number | 8017634036 |
| Fax Number | 8017634073 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY D |
|---|---|
| Authorized Official Name | Whitney Frank |
| Credentials | RP |
| Telephone Number | 8017634160 |
NPI Number Detail
| NPI Number | 1164435129 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 895 N 900 E |
|---|---|
| City | American Fork |
| State | Utah (UT) |
| Post Code | 840039183 |
| Phone Number | 8017634036 |
| Fax Number | 8017634073 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 122434-1704 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4603773 | UT | NCPDP | |
| 52820957000001 | UT | BLUE CROSS | |
| 876000545015 | UT | -- |
Post Comment/ Review Below
What is the Utah State Developmental Center Pharmacy's 1164435129?
The Utah State Developmental Center Pharmacy's NPI (National Provider Identifier) Number is 1164435129. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Utah State Developmental Center Pharmacy is located?
The Utah State Developmental Center Pharmacy is situated at the following address: 895 N 900 E, American Fork, UT, 840039183.
What is the Utah State Developmental Center Pharmacy's area of specialization and corresponding taxonomy classification?
The Utah State Developmental Center Pharmacy's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Utah State Developmental Center Pharmacy receive the assignment of its 1164435129 from the Centers for Medicare & Medicaid Services?
The Utah State Developmental Center Pharmacy was issued its 1164435129 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date were the details related to Utah State Developmental Center Pharmacy most recently updated or revised?
The information pertaining to Utah State Developmental Center Pharmacy, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.