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UINTAH BASIN MEDICAL CENTER NPI 1063651669


NPI Information

NPI: 1063651669
Provider Name: UINTAH BASIN MEDICAL CENTER

Doing Business As: DUCHESNE VALLEY MEDICAL CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 46D2192094

Address:
50 EAST 200 SOUTH
DUCHESNE, UT
ZIP 84021
Phone: (435) 738-5403
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UINTAH BASIN MEDICAL CENTER is a community/retail pharmacy pharmacy in Duchesne, UT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. UINTAH BASIN MEDICAL CENTER NPI is 1063651669. The provider is registered as an organization entity type.
The provider Is Doing Business As Duchesne Valley Medical Clinic Pharmacy.

The provider's business location address is:

50 EAST 200 SOUTH
DUCHESNE, UT
ZIP 84021
Phone: (435) 738-5403
Fax: (435) 738-5405

The provider's authorized official is Lonnie Anderson .
The authorized official title is Director Of Pharmacy and has the following contact phone number (435) 722-6123.

The CLIA number assigned to this NPI record is 46D2192094 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 6/19/2012.


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
13336C0002XPharmacyClinic PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy7263753-1703UTAHYes

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
14611249OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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