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Pharmacy At Park City Clinic
Compounding Pharmacy in Park City, Utah
NPI 1730462110

Pharmacy At Park City Clinic is a Compounding Pharmacy based in Park City, UT and is specialized in Compounding Pharmacy. Pharmacy At Park City Clinic practices in Park City, UT. The NPI Number for Pharmacy At Park City Clinic is 1730462110 and holds a License No. (Utah).

The current practice location address for Pharmacy At Park City Clinic is 1665 Bonanza Dr, Park City, UT and can be reached out via phone at 435-776-9312 and via fax at 435-776-9317.

Location: 1665 Bonanza Dr, Park City, UT, 84060-5127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730462110
Provider Name
Pharmacy At Park City Clinic
Credential
Provider Entity Type
Organization
Address
1665 Bonanza Dr, Park City, UT, 84060-5127
Phone Number
435-776-9312
Fax Number
435-776-9317
Provider Enumeration Date
09/22/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4612102 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1665 Bonanza Dr
City
Park City
State
Utah
Zip
84060-5127
Phone Number
435-776-9312
Fax Number
435-776-9317
person
Provider Business Mailing Address Details
Address
1665 Bonanza Dr
City
Park City
State
Utah
Zip
84060-5127
Phone Number
435-776-9312
Fax Number
435-776-9317
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
8088270-1703 (Utah)
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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