Healthcare Provider Details

I. General information

NPI: 1851304760
Provider Name (Legal Business Name): HARMON CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7755 S 700 E
MIDVALE UT
84047-2853
US

IV. Provider business mailing address

3540 S 4000 W SUITE 43
WEST VALLEY CITY UT
84120-3260
US

V. Phone/Fax

Practice location:
  • Phone: 801-561-1491
  • Fax: 801-233-6405
Mailing address:
  • Phone: 801-969-8261
  • Fax: 801-964-6923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number362785-1703
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: GREGORY JONES
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 801-957-8454