Organization Name: | IHC HEALTH SERVICES INC |
NPI Number: | 1053575175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ALLEN (REGIONAL VP) |
Mailing Address: | 412 N 200 E Logan |
State: | UT US |
Postal Code: | 843214038 |
Phone Number: | 4357132770 |
Fax Number: | 4357132787 |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |