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APOTHECARY SHOPPE INC NPI 1003898545


NPI Information

NPI: 1003898545
Provider Name: APOTHECARY SHOPPE, INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
82 S 1100 E
SUITE 104
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 521-6353
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APOTHECARY SHOPPE, INC is a pharmacy in Salt Lake City, UT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. APOTHECARY SHOPPE, INC NPI is 1003898545. The provider is registered as an organization entity type.

The provider's business location address is:

82 S 1100 E
SUITE 104
SALT LAKE CITY, UT
ZIP 84102-686
Phone: (801) 521-6353
Fax: (801) 521-6390

The provider's authorized official is Kevin Lee Demass .
The authorized official title is Owner and has the following contact phone number (801) 521-6353.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 12/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy6895933-1703UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========003MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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