Central Utah Clinic, P.c.
Non-pharmacy Dispensing Site
1055 N 500 W Ste 202, Provo
Utah, 84604-3305
801-374-2367 801-429-8015
Central Utah Clinic, P.c. is a Non-pharmacy Dispensing Site in Provo, Utah. It is located at 1055 N 500 W Ste 202, Provo and it's customer support contact number is 801-374-2367. The authorized person of Central Utah Clinic, P.c. is Jed Harston who is Director Of Managed Care of the pharmacy and his contact number is 801-812-5012. Active license number of Central Utah Clinic, P.c. is 9847128-1725 for Non-pharmacy Dispensing Site in Utah.
Central Utah Clinic, P.c. is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Central Utah Clinic, P.c. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Central Utah Clinic, P.c. |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1055 N 500 W Ste 202, Provo,
Utah, 84604-3305 |
| Phone: | 801-374-2367 |
| Fax: | 801-429-8015 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jed Harston |
| Position: | Director Of Managed Care |
| Contact Number: | 801-812-5012 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1316330749 |
| NPI Enumeration Date: | 10 Mar, 2015 |
| NPI Last Update On: | 16 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Central Utah Clinic, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 9847128-1725 | Utah | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1055 N 500 W, Attn: Credentialing
Provo, Utah |
| Zip: | 84604-3305 |
| Phone Number: | 801-354-8225 |
| Fax Number: | 801-418-0941 |
Patients can reach Central Utah Clinic, P.c. at
1055 N 500 W Ste 202, Provo, Utah or can
call on customer care at 801-374-2367.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.