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NPI Code Detail

MEDICARE: GLADES HYLAND PHARMACIES

MEDICARE: GLADES HYLAND PHARMACIES
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
1333600000XPharmacy128825-1703UT
23336C0003XCommunity/Retail Pharmacy128825-1703UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14606438OTHERNABP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225026842
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLADES HYLAND PHARMACIES
Provider Business Mailing Address
First Line : 4188 WEST 5415 SOUTH
Second Line :
City : KEARNS
State : UT
Zip : 84118-4310
Country : US
Telephone Number : 801-969-1986
Fax Number : 801-982-1351
Provider Business Practice Location Address
First Line : 4188 WEST 5415 SOUTH
Second Line :
City : KEARNS
State : UT
Zip : 84118-4310
Country : US
Telephone Number : 801-969-1986
Fax Number : 801-982-1351
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MRS. HEATHER B KARREN
Credential :
Telephone Number : 801-969-1986
Provider Enumeration Date : 10/07/2005
Last Update Date : 11/30/2023

Similar Medicare Providers

1467440099 — MR. TOMMY JOSEPH WILLIAMS R.PH., P.D.
Practice Location Address:
4188 W 5415 S
KEARNS, UT
84118-4310
Practice Phone: 801-969-1986
Practice Fax: 801-982-1351
1023094075 — MRS. LINDA MARIE FIRNENO RN LPC
Practice Location Address:
3809 W 6200 S
KEARNS, UT
84118-3725
Practice Phone: 801-963-4320
Practice Fax: 801-963-4284
1760469555 — K. GENE HANSEN PH.D.
Practice Location Address:
3809 W 6200 S
KEARNS, UT
84118-3725
Practice Phone: 801-963-4209
Practice Fax: 801-963-4299
1457339384 — MS. CLARE THERESE COONAN LCSW
Practice Location Address:
3809 W 6200 S
KEARNS, UT
84118-3725
Practice Phone: 801-963-4280
Practice Fax:
1528045457 — MS. SUSAN T. MILLER A.P.R.N.,B.C.
Practice Location Address:
3809 W 6200 S
KEARNS, UT
84118-3725
Practice Phone: 801-963-4213
Practice Fax: 801-963-4299
1598743502 — RANDAL THERON DOW JR. LCSW
Practice Location Address:
3809 W 6200 S
KEARNS, UT
84118-3725
Practice Phone: 801-963-4215
Practice Fax: 801-963-4299

Directions to “GLADES HYLAND PHARMACIES ” Practice Location

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