Provider Demographics
NPI:1497371686
Name:APOTHECARY POINTE PHARMACY INC
Entity Type:Organization
Organization Name:APOTHECARY POINTE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:801-825-6400
Mailing Address - Street 1:3443 W 5600 S STE 110
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-9106
Mailing Address - Country:US
Mailing Address - Phone:801-825-6400
Mailing Address - Fax:801-825-6449
Practice Address - Street 1:3443 W 5600 S STE 110
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9106
Practice Address - Country:US
Practice Address - Phone:801-825-6400
Practice Address - Fax:801-825-6449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy