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MAPLE MOUNTAIN PHARMACY INC. NPI 1487192621


NPI Information

NPI: 1487192621
Provider Name: MAPLE MOUNTAIN PHARMACY INC.

Doing Business As: MAPLE MOUNTAIN PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 46D2098052

Address:
724 S 1600 W
MAPLETON, UT
ZIP 84664
Phone: (801) 515-6048
Get Directions

MAPLE MOUNTAIN PHARMACY INC. is a pharmacy in Mapleton, 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. MAPLE MOUNTAIN PHARMACY INC. NPI is 1487192621. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Mountain Pharmacy.

The provider's business location address is:

724 S 1600 W
MAPLETON, UT
ZIP 84664-347
Phone: (801) 515-6048

The provider's authorized official is Michael Johnson .
The authorized official title is Owner/president and has the following contact phone number (801) 885-1147.

The CLIA number assigned to this NPI record is 46D2098052 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.


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
1333600000XPharmacy8359109-1703UTAHYes
23336L0003XPharmacyLong Term Care PharmacyNo

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
12167468OTHERPK

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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