Bear Lake Community Health Center, Inc., NPI 1285140376
Community/Retail Pharmacy in Evanston, WY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1285140376
NPI Entity Type Organization
Provider Name Bear Lake Community Health Center, Inc.
Doing Business As
Subpart of Organization Bear Lake Community Health Center, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 75 Yellow Creek Rd Ste 102, Evanston, WY, US
Provider Mailing Address 1515 N 400 E Ste 104, North Logan, UT, US, 843417595
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jorge Garcia
Official Position CEO
Phone 435-755-6061

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. R10072
License State WY
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

Evanston Community Health Center Pharmacy 340b
Doing Business As

Business Address

Bear Lake Community Health Center, Inc.
75 Yellow Creek Rd Ste 102

Evanston, WY, US

Phone: 307-789-8291
Fax: 307-789-8291

Mailing Address

Bear Lake Community Health Center, Inc.
1515 N 400 E Ste 104
North Logan, UT, US
ZIP 843417595
Phone: 435-755-8424
Fax: 435-755-8436

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