Mountainlands Family Pharmacy

NPI #1871812370 in Provo, Utah

Provider Information

NPI Number: 1871812370
Entity Type: Organization
Organization Name: Mountainlands Family Pharmacy
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 24, 2010
Last Updated: Mar 27, 2025

Practice Location

Address: 589 S STATE ST
City: Provo
State: Utah
ZIP Code: 84606-5056
Phone: (801) 429-2000

Authorized Official

Name: TODD BAILEY
Title: CEO
Phone: (801) 429-2011

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

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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
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