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12th St Pharmacy Inc

Community/Retail Pharmacy in Ogden, UT · enumerated 2007 · authorized official Wallace Eggleston, Owner and Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538284716

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name 12th St Pharmacy Inc
Other name <Unavail>
Practice address 698 12th St, Ogden, UT, 84404
Phone (801) 621-2154
Fax (801) 627-9523
Enumeration date Mar 20, 2007
Last updated in NPPES Sep 23, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 362500-1703 (UT) Primary

Authorized official

Name Wallace Eggleston
Title Owner and Pharmacist
Phone (801) 621-2154

Other identifiers

Identifier Type State Issuer
2100182 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is 12th St Pharmacy Inc located?
The practice location on file with NPPES is in Ogden, UT.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-23.