Mountainlands Family Pharmacy
Federally Qualified Health Center (FQHC)
589 S State St, Provo
Utah, 84606-5056
801-429-2000 Mountainlands Family Pharmacy is a Federally Qualified Health Center (FQHC) in Provo, Utah. It is located at 589 S State St, Provo and it's customer support contact number is 801-429-2000. The authorized person of Mountainlands Family Pharmacy is Todd Bailey who is Ceo of the pharmacy and his contact number is 801-429-2011.
Mountainlands Family Pharmacy is definition to come...
Pharmacy Details:
Mountainlands Family 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: | Mountainlands Family Pharmacy |
| Type: | Federally Qualified Health Center (FQHC) |
| Location: | 589 S State St, Provo,
Utah, 84606-5056 |
| Phone: | 801-429-2000 |
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: | Todd Bailey |
| Position: | Ceo |
| Contact Number: | 801-429-2011 |
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: | 1871812370 |
| NPI Enumeration Date: | 24 May, 2010 |
| NPI Last Update On: | 27 Mar, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountainlands Family Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Community/Retail Pharmacy | 7630544-1703 | Utah | 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 |
| 4611821 | Other | | Ncpdp Provider Identification 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: | 589 S State St,
Provo, Utah |
| Zip: | 84606-5056 |
| Phone Number: | 801-429-2000 |
Patients can reach Mountainlands Family Pharmacy at
589 S State St, Provo, Utah or can
call on customer care at 801-429-2000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.