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MIDLAND PHARMACY LLC NPI 1639649916


NPI Information

NPI: 1639649916
Provider Name: MIDLAND PHARMACY, LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 46D2135936

Address:
4815 S 3500 W
ROY, UT
ZIP 84067
Phone: (801) 985-7011
Get Directions

MIDLAND PHARMACY, LLC is a pharmacy in Roy, 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. MIDLAND PHARMACY, LLC NPI is 1639649916. The provider is registered as an organization entity type.

The provider's business location address is:

4815 S 3500 W
ROY, UT
ZIP 84067-439
Phone: (801) 985-7011
Fax: (801) 985-0856

The provider's authorized official is Joseph F Burum .
The authorized official title is Owner/pharmacist In Charge and has the following contact phone number (801) 985-7011.

The CLIA number assigned to this NPI record is 46D2135936 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 4/2/2019.


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
1333600000XPharmacyYes

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.