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KOHLERS FOOD STORES PHAMACY NPI 1003894973


NPI Information

NPI: 1003894973
Provider Name: KOHLERS FOOD STORES PHAMACY
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
5353 W 11000 N
HIGHLAND, UT
ZIP 84003
Phone: (801) 756-2250
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KOHLERS FOOD STORES PHAMACY is a pharmacist in Highland, UT. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. KOHLERS FOOD STORES PHAMACY NPI is 1003894973. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5353 W 11000 N
HIGHLAND, UT
ZIP 84003-403
Phone: (801) 756-2250

The provider's authorized official is Charles Richard Willie .
The authorized official title is Head Pharmacist and has the following contact phone number (801) 756-2250.

The enumeration date for this NPI number is 1/2/2006 and was last updated on 8/22/2020.


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
1183500000XPharmacist274777-1703UTAHYes

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
1870309253012MEDICAIDUTAH

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

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