Provider Demographics
NPI:1003909995
Name:HEALTHCARE PHARMACEUTICALS, INC.
Entity Type:Organization
Organization Name:HEALTHCARE PHARMACEUTICALS, INC.
Other - Org Name:HEALTHCARE PHARMACEUTICALS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:WEILER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:801-270-5656
Mailing Address - Street 1:3950 S 700 E
Mailing Address - Street 2:STE 205
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2114
Mailing Address - Country:US
Mailing Address - Phone:801-270-5656
Mailing Address - Fax:801-270-5658
Practice Address - Street 1:3950 S 700 E
Practice Address - Street 2:STE 205
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2114
Practice Address - Country:US
Practice Address - Phone:801-270-5656
Practice Address - Fax:801-270-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10337500-1704333600000X
NVPH023683336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2100284OtherPK
2100284OtherPK
2100284OtherPK
5797370001Medicare NSC