Whalio Doctors

NPI 1124132113

PC Pharmacy at the Clinic INC

Organisation Community/Retail Pharmacy Park City, UT

Practice location

Address
1665 Bonanza Dr, Park City, UT 84060
Phone
(435) 658-5051
Fax
(435) 658-5093
Mailing address
PO Box 680772, Park City, UT 84068-0772

Authorised official

Name
Kristy Black
Title
Owner
Phone
(435) 658-5051

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Pharmacy
Suppliers Taxonomy 333600000X Licence 60427351703 (UT)

Registry record

NPI
1124132113
Entity type
Organization
NPI issued
18 Aug 2006
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.