Mountainlands Family Pharmacy - Wasatch

NPI #1861815110 in Provo, Utah

Provider Information

NPI Number: 1861815110
Entity Type: Organization
Organization Name: Mountainlands Family Pharmacy - Wasatch
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNTAINLANDS COMMINITY HEALTH CENTER
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jan 22, 2014
Last Updated: Mar 27, 2025

Practice Location

Address: 750 N 200 W
Address 2: SUITE 201
City: Provo
State: Utah
ZIP Code: 84601-3539
Phone: (801) 429-2000

Authorized Official

Name: MR. TODD BAILEY
Title: CEO
Phone: (801) 429-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

Similar Providers

Provider Name	Specialty	City
Mountainlands Community Health Center, INC Part of Mountainlands Community Health Center, INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Provo	AI Deep Dive
Mountainlands Community Health Center, INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Provo	AI Deep Dive
Mountainlands Community Health Center, Inc. Part of Mountainlands Community Health Center, Inc.	Clinic/Center - Federally Qualified Health Center (FQHC)	Provo	AI Deep Dive
Mountainlands Community Health Center, INC Part of Mountainlands Community Health Center, INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Provo	AI Deep Dive
Mountainlands Community Health Center, Inc. Part of Mountainlands Community Health Center, Inc.	Clinic/Center - Federally Qualified Health Center (FQHC)	Provo	AI Deep Dive

Want to research this healthcare provider further?

Try NewBizBot free