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BLACK PANDA LLC NPI 1518577741


NPI Information

NPI: 1518577741
Provider Name: BLACK PANDA LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2507 S STATE ST
SALT LAKE CITY, UT
ZIP 84115
Phone: (855) 558-2382
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BLACK PANDA LLC 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. BLACK PANDA LLC NPI is 1518577741. The provider is registered as an organization entity type.

The provider's business location address is:

2507 S STATE ST
SALT LAKE CITY, UT
ZIP 84115-109
Phone: (855) 558-2382

The provider's authorized official is Barbara Deinet .
The authorized official title is Managing Member and has the following contact phone number (702) 219-6173.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/3/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.