Mountainlands Family Pharmacy
Mountainlands Family Pharmacy is a Federally Qualified Health Center (FQHC) in Provo, Utah. Licensed in Utah. Registered with an NPI since 2010.
- Licensed in
- UT
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
589 S State StProvo, UT 84606-5056
Phone: (801) 429-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Community/Retail Pharmacy | Taxonomy 3336C0003X · Licence 7630544-1703 (UT) |
Record details
| NPI number | 1871812370 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Bailey — Ceo · (801) 429-2011 |
| Other names | Mountainlands Family Pharmacy; Mountainlands Family Pharmacy |
| NPI enumerated | May 24, 2010 |
| Last updated in NPPES | March 27, 2025 |
| Certification date | March 27, 2025 |
| Mailing address | 589 S State St, Provo, UT 84606-5056 |
Other providers in Provo
-
Mountainlands Family Pharmacy - Wasatch
750 N 200 W Ste 201, Provo, UT 84601-3539 · (801) 429-2000