Healthcare Provider Details
I. General information
NPI: 1275908568
Provider Name (Legal Business Name): IHC HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2015
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5121 S COTTONWOOD ST
MURRAY UT
84107-5701
US
IV. Provider business mailing address
5121 S COTTONWOOD ST BUILDING 5 LL2
MURRAY UT
84107-5701
US
V. Phone/Fax
- Phone: 801-507-6031
- Fax: 801-507-1393
- Phone: 801-507-6031
- Fax: 801-507-1393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336I0012X |
| Taxonomy | Institutional Pharmacy |
| License Number | 6525858-1704 |
| License Number State | UT |
VIII. Authorized Official
Name:
CARRIE
DUNFORD
Title or Position: CHIEF PHARMACY OFFICER & VP CLINICA
Credential:
Phone: 801-284-1004