Healthcare Provider Details

I. General information

NPI: 1740940329
Provider Name (Legal Business Name): HARMON CITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 WEST SOUTH JORDAN PARKWAY
SOUTH JORDAN UT
84009
US

IV. Provider business mailing address

3540 S 4000 W STE 430
WEST VALLEY UT
84120-3246
US

V. Phone/Fax

Practice location:
  • Phone: 385-297-9740
  • Fax: 385-297-9741
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 Number
License Number State
# 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