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HEALTHWISE PHARMACY INC NPI 1790902898


NPI Information

NPI: 1790902898
Provider Name: HEALTHWISE PHARMACY INC

Doing Business As: HEALTHWISE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
724 S 1600 W
MAPLETON, UT
ZIP 84664
Phone: (801) 489-7300
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HEALTHWISE PHARMACY INC is a long term care pharmacy pharmacy in Mapleton, UT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HEALTHWISE PHARMACY INC NPI is 1790902898. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthwise Pharmacy.

The provider's business location address is:

724 S 1600 W
MAPLETON, UT
ZIP 84664-347
Phone: (801) 489-7300
Fax: (801) 489-4949

The provider's authorized official is Ryan Hickman .
The authorized official title is Pharmacist In Charge and has the following contact phone number (801) 489-7300.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 10/5/2015.


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
13336L0003XPharmacyLong Term Care Pharmacy8359105-1704UTAHYes

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
1=========001MEDICAIDUTAH
25375900001MEDICARE NSC
32100773OTHERPK

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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