MEDICARE: PHARMACARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1134893217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACARE, LLC

Provider Business Mailing Address
First Line	:	4133 W PIONEER PKWY STE 130
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-2059
Country	:	US
Telephone Number	:	385-557-6747
Fax Number	:	888-546-0632

Provider Business Practice Location Address
First Line	:	4133 W PIONEER PKWY STE 120
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-2059
Country	:	US
Telephone Number	:	385-557-6747
Fax Number	:	888-546-0632

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	STEPHEN BROWN
Credential	:
Telephone Number	:	385-557-6747

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	12/08/2025

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