Healthcare Provider Details

I. General information

NPI: 1306115274
Provider Name (Legal Business Name): HARMON CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2011
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E 100 S
SALT LAKE CITY UT
84111-6500
US

IV. Provider business mailing address

3540 S 4000 W STE #430
SALT LAKE CITY UT
84120-3260
US

V. Phone/Fax

Practice location:
  • Phone: 801-428-0399
  • Fax: 801-428-0390
Mailing address:
  • Phone: 801-902-8512
  • Fax: 801-964-6923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number8152983-1703
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

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