Wasatch Front Ltc Pharmacy
Long Term Care Pharmacy
11585 S State St Ste 103, Draper
Utah, 84020-7403
801-890-0346 801-542-0491
Wasatch Front Ltc Pharmacy is not a DME supplier for medicare equipments and products.
Wasatch Front Ltc Pharmacy is a Long Term Care Pharmacy in Draper, Utah. It is located at 11585 S State St Ste 103, Draper and it's customer support contact number is 801-890-0346. The authorized person of Wasatch Front Ltc Pharmacy is Brandon Hagen who is Director Of Operations of the pharmacy and his contact number is 801-890-0346. Active license number of Wasatch Front Ltc Pharmacy is 9012387-1704 for Long Term Care Pharmacy in Utah.
Wasatch Front Ltc Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Wasatch Front Ltc 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: | Wasatch Front Ltc Pharmacy |
| Type: | Long Term Care Pharmacy |
| Location: | 11585 S State St Ste 103, Draper, Utah, 84020-7403 |
| Phone: | 801-890-0346 |
| Fax: | 801-542-0491 |
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: | Brandon Hagen |
| Position: | Director Of Operations |
| Contact Number: | 801-890-0346 |
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: | 1760890016 |
| NPI Enumeration Date: | 31 Jul, 2014 |
| NPI Last Update On: | 31 Jul, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wasatch Front Ltc Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 9012387-1704 | Utah | 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 |
| 2147019 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11585 S State St, Ste 103 Draper, Utah |
| Zip: | 84020-7400 |
| Phone Number: | 801-890-0346 |
| Fax Number: | 801-542-0491 |
Patients can reach Wasatch Front Ltc Pharmacy at
11585 S State St Ste 103, Draper, Utah or can
call on customer care at 801-890-0346.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.