Healthcare Provider Details

I. General information

NPI: 1558374405
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

870 E 800 N
OREM UT
84097-4245
US

IV. Provider business mailing address

3540 S 4000 W SUITE 430
WEST VALLEY CITY UT
84120-3260
US

V. Phone/Fax

Practice location:
  • Phone: 801-714-4150
  • Fax: 801-714-4102
Mailing address:
  • Phone: 801-969-8261
  • Fax: 801-694-6923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number357745-1703
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