West Side Community Health Services Inc in Salt Lake City - Clinic Pharmacy
West Side Community Health Services Inc - NPI 1114069911
West Side Community Health Services Inc is a Clinic Pharmacy in Salt Lake City, Utah. West Side Community Health Services Inc practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for West Side Community Health Services Inc is 1114069911. The last update date is 2018-07-19.
West Side Community Health Services Inc's current location address is Pob 9830, Salt Lake City, Utah. You can contact this provider via phone number 6516027589 and fax number 6516027502. The mailing address for West Side Community Health Services Inc is Pob 9830, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Side Community Health Services Inc |
|---|---|
| Address | Pob 9830, Salt Lake City, Utah |
| Phone Number | 6516027589 |
| Fax Number | 6516027502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY S |
|---|---|
| Authorized Official Name | Killelea Dirk |
| Credentials | PHARM D |
| Telephone Number | 6513892415 |
NPI Number Detail
| NPI Number | 1114069911 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2018-07-19 |
Provider Mailing Address Detail
| Address | Pob 9830 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841099913 |
| Phone Number | 6516027589 |
| Fax Number | 6516027502 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 262084 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2048314 | PK | ||
| 836253000 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to West Side Community Health Services Inc by the Centers for Medicare & Medicaid Services (CMS)?
The West Side Community Health Services Inc has been assigned the NPI (National Provider Identifier) 1114069911. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where West Side Community Health Services Inc is located?
The West Side Community Health Services Inc is situated at the following address: Pob 9830, Salt Lake City, UT, 841099913.
What is the West Side Community Health Services Inc's specialty and taxonomy code?
The West Side Community Health Services Inc's specialty is Clinic Pharmacy, and the corresponding taxonomy code is 3336C0002X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114069911 to West Side Community Health Services Inc?
The Centers for Medicare & Medicaid Services assigned the 1114069911 to West Side Community Health Services Inc on 2007-02-12.
As of what date were the details related to West Side Community Health Services Inc most recently updated or revised?
The information pertaining to West Side Community Health Services Inc, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-19.
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