Provider Demographics
NPI:1902031214
Name:ACADIA PHARMACY SERVICES
Entity Type:Organization
Organization Name:ACADIA PHARMACY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUNIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:MERCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:801-518-2680
Mailing Address - Street 1:5235 GREENPINE DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-4604
Mailing Address - Country:US
Mailing Address - Phone:801-262-6980
Mailing Address - Fax:
Practice Address - Street 1:5235 GREENPINE DR
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-4604
Practice Address - Country:US
Practice Address - Phone:801-262-6980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-16
Last Update Date:2009-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT733204117043336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy