Healthcare Provider Details

I. General information

NPI: 1669024568
Provider Name (Legal Business Name): HEALTHLIFT PHARMACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

392 E WINCHESTER ST STE 400
MURRAY UT
84107-8536
US

IV. Provider business mailing address

PO BOX 520190
SALT LAKE CITY UT
84152-0190
US

V. Phone/Fax

Practice location:
  • Phone: 844-569-8876
  • Fax:
Mailing address:
  • Phone: 844-569-8876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. NATALIE NEIL
Title or Position: VP OPERATIONS
Credential:
Phone: 844-328-2048