Mountainlands Family Pharmacy - Wasatch
Mountainlands Family Pharmacy - Wasatch is a Federally Qualified Health Center (FQHC) in Provo, Utah. Licensed in Utah. Registered with an NPI since 2014.
- Licensed in
- UT
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
750 N 200 W Ste 201Provo, UT 84601-3539
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 (UT) |
Record details
| NPI number | 1861815110 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Mountainlands Comminity Health Center |
| Authorized official | Todd Bailey — Ceo · (801) 429-2000 |
| NPI enumerated | January 22, 2014 |
| 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
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Mountainlands Family Pharmacy
589 S State St, Provo, UT 84606-5056 · (801) 429-2000