Healthcare Provider Details

I. General information

NPI: 1831084870
Provider Name (Legal Business Name): LIMELIGHT PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 W 500 N
LEHI UT
84043-1567
US

IV. Provider business mailing address

2140 W 13180 S
RIVERTON UT
84065-6216
US

V. Phone/Fax

Practice location:
  • Phone: 801-472-2533
  • Fax:
Mailing address:
  • Phone: 801-472-2533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID TRANTER
Title or Position: DIRECTOR/OWNER
Credential: PA
Phone: 801-472-2533