Wasatch Front LTC Pharmacy

Long Term Care Pharmacy · Draper, UT

Organization Active NPI

NPI number 1760890016

Practice location

11585 S State St Ste 103
Draper, UT 84020-7403
Phone
(801) 890-0346
Fax
(801) 542-0491

Open in Google Maps

NPI record

NPI
1760890016
Entity type
Organization (Type 2)
Enumeration date
July 31, 2014
Last updated
July 31, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Long Term Care Pharmacy Primary 3336L0003X 9012387-1704 UT

Mailing address

11585 S State St
Ste 103
Draper, UT 84020-7400
Phone
(801) 890-0346
Fax
(801) 542-0491

Authorized official

Name
Brandon Hagen
Title
Director of Operations
Phone
(801) 890-0346

Other names

  • Pioneer Pharmacy Services

About Wasatch Front LTC Pharmacy

Wasatch Front LTC Pharmacy is a healthcare organization registered in the NPI registry with the primary taxonomy Long Term Care Pharmacy (code 3336L0003X). The practice location is 11585 S State St Ste 103, Draper, UT 84020-7403. The NPI number 1760890016 was assigned on July 31, 2014 and the record was last updated on July 31, 2014.

Wasatch Front LTC Pharmacy lists a license in the registry: #9012387-1704 (UT) for Long Term Care Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Brandon Hagen, Director of Operations.

Frequently asked questions

What is the NPI number of Wasatch Front LTC Pharmacy?

The NPI number is 1760890016.

What is the phone number of Wasatch Front LTC Pharmacy?

The phone number listed for the practice location is (801) 890-0346.

Where is Wasatch Front LTC Pharmacy located?

11585 S State St Ste 103, Draper, UT 84020-7403.

What is the taxonomy code for Wasatch Front LTC Pharmacy?

The primary taxonomy code is 3336L0003X – Long Term Care Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Long Term Care Pharmacy providers in Draper

All Long Term Care Pharmacy providers in Draper, UT →