Diversified Professional Company
Compounding Pharmacy
1159 E 12th Street, Ogden
Utah, 84404-5144
801-334-3190 801-334-3193
Diversified Professional Company is a Compounding Pharmacy in Ogden, Utah. It is located at 1159 E 12th Street, Ogden and it's customer support contact number is 801-334-3190. The authorized person of Diversified Professional Company is Mr. Gary Lynn Bailey, RPH who is President of the pharmacy and his contact number is 801-334-3190.
Diversified Professional Company is 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.
Pharmacy Details:
Diversified Professional Company 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: | Diversified Professional Company |
| Type: | Compounding Pharmacy |
| Location: | 1159 E 12th Street, Ogden,
Utah, 84404-5144 |
| Phone: | 801-334-3190 |
| Fax: | 801-334-3193 |
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: | Mr. Gary Lynn Bailey |
| Credentials: | RPH |
| Position: | President |
| Contact Number: | 801-334-3190 |
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: | 1487736161 |
| NPI Enumeration Date: | 20 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diversified Professional Company are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 870218488006 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1159 E 12th Street,
Ogden, Utah |
| Zip: | 84404-5144 |
| Phone Number: | 801-334-3190 |
| Fax Number: | 801-334-3193 |
Patients can reach Diversified Professional Company at
1159 E 12th Street, Ogden, Utah or can
call on customer care at 801-334-3190.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.