Organization Name: | PC PHARMACY AT THE CLINIC INC |
NPI Number: | 1124132113 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTY BLACK (OWNER) |
Mailing Address: | 1665 Bonanza Dr Park City |
State: | UT US |
Postal Code: | 84060 |
Phone Number: | 4356585051 |
Fax Number: | 4356585093 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 60427351703 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | UT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |