Provider Demographics
NPI:1356702807
Name:SHROY HEALTHCARE PHARMACEUTICALS INC
Entity type:Organization
Organization Name:SHROY HEALTHCARE PHARMACEUTICALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-953-4187
Mailing Address - Street 1:3950 S 700 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2114
Mailing Address - Country:US
Mailing Address - Phone:801-953-4187
Mailing Address - Fax:
Practice Address - Street 1:3950 S 700 E
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2114
Practice Address - Country:US
Practice Address - Phone:801-953-4187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT969826917013336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy