Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

12th St Pharmacy Inc

Organization Pharmacy · NPI 1538284716

12th St Pharmacy Inc is a Pharmacy in Ogden, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

698 12th St
Ogden, UT 84404-6200
Phone: (801) 621-2154
Fax: (801) 627-9523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 362500-1703 (UT)
Pharmacy Taxonomy 333600000X
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1538284716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Eggleston — Owner And Pharmacist · (801) 621-2154
Other names 12th Street Pharmacy
NPI enumeratedMarch 20, 2007
Last updated in NPPESSeptember 23, 2016
Mailing address698 12th St, Ogden, UT 84404-6200

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