Intermountain Southridge Pharmacy is not a DME supplier for medicare equipments and products.
Intermountain Southridge Pharmacy is a Community/Retail Pharmacy in Riverton, Utah. This pharmacy is owned and operated by Ihc Health Services Inc. This organization is also known as sub part of Ihc Health Services Inc. It is located at 3723 W 12600 S Ste 170, Riverton and it's customer support contact number is 801-285-4500. The authorized person of Intermountain Southridge Pharmacy is Nannette Berensen who is Vice President Of Clinical Systems of the pharmacy and his contact number is 801-284-1005. Active license number of Intermountain Southridge Pharmacy is 7359499-1703 for Community/Retail Pharmacy in Utah. Intermountain Southridge Pharmacy is 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.
Pharmacy Details:
Intermountain Southridge 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:
Intermountain Southridge Pharmacy
Type:
Community/Retail Pharmacy
Location:
3723 W 12600 S Ste 170, Riverton, Utah, 84065-7296
Phone:
801-285-4500
Fax:
801-285-4501
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:
Nannette Berensen
Position:
Vice President Of Clinical Systems
Contact Number:
801-284-1005
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:
1649401969
Parent Organization:
Ihc Health Services Inc
NPI Enumeration Date:
04 Aug, 2009
NPI Last Update On:
19 Jul, 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 Intermountain Southridge Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
7359499-1703
Utah
Primary
Pharmacy
Secondary
Compounding 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
1649401969
Medicaid
Idaho
1649401969
Medicaid
Wyoming
2121208
Other
Pk
1649401969
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:
Po Box 30013, Salt Lake City, Utah
Zip:
84130-0013
Phone Number:
801-285-4500
Fax Number:
801-442-3133
Patients can reach Intermountain Southridge Pharmacy at 3723 W 12600 S Ste 170, Riverton, Utah or can call on customer care at 801-285-4500.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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