Fourth Street Pharmacy is not a DME supplier for medicare equipments and products.
Fourth Street Pharmacy is a Clinic Pharmacy in Salt Lake, Utah. This pharmacy is owned and operated by Wasatch Homeless Health Care, Inc.. It is located at 409 West 400 South, Salt Lake and it's customer support contact number is 801-333-8628. The authorized person of Fourth Street Pharmacy is Laura Michalski who is Chief Executive Officer of the pharmacy and his contact number is 801-364-0058. Active license number of Fourth Street Pharmacy is 49490201703 for Clinic Pharmacy in Utah. Fourth Street Pharmacy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Fourth Street Pharmacy 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:
Fourth Street Pharmacy
Type:
Clinic Pharmacy
Location:
409 West 400 South, Salt Lake, Utah, 84101-8410
Phone:
801-333-8628
Fax:
801-433-0153
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:
Laura Michalski
Position:
Chief Executive Officer
Contact Number:
801-364-0058
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:
1720270275
NPI Enumeration Date:
17 Aug, 2007
NPI Last Update On:
23 Jun, 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 Fourth Street Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Clinic Pharmacy
49490201703
Utah
Primary
Pharmacy
Secondary
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
4695613
Other
Other Id Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
409 South 400 West, Salt Lake City, Utah
Zip:
84101
Phone Number:
801-333-8628
Fax Number:
801-433-0153
Patients can reach Fourth Street Pharmacy at 409 West 400 South, Salt Lake, Utah or can call on customer care at 801-333-8628.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Other Pharmacies in Salt Lake, Utah
No other Pharmacies is available in Salt Lake, UT.