MEDICARE: HARMON CITY INC

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	3336S0011X	Specialty Pharmacy
2	3336C0003X	Community/Retail Pharmacy	7932603-1703	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255630851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMON CITY INC

Provider Business Mailing Address
First Line	:	3540 S 4000 W
Second Line	:	SUITE, 430
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-3260
Country	:	US
Telephone Number	:	801-902-8512
Fax Number	:	801-964-6923

Provider Business Practice Location Address
First Line	:	200 N STATION PKWY
Second Line	:
City	:	FARMINGTON
State	:	UT
Zip	:	84025-2881
Country	:	US
Telephone Number	:	801-928-2626
Fax Number	:	801-928-2639

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	GREGORY JONES
Credential	:
Telephone Number	:	801-957-8454

Provider Enumeration Date	:	03/22/2011
Last Update Date	:	05/31/2024

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Directions to “HARMON CITY INC ” Practice Location

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