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Holladay Pharmaceutical LLC

Holladay Pharmaceutical LLC is a healthcare organization registered as Community/Retail Pharmacy in Orem, UT, holding Type 2 (organization) NPI 1881915957 since 2010. The authorized official on file is Penny Gustafson, Manager.

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NPI 1881915957
Entity type Organization (Type 2)
Legal business name Holladay Pharmaceutical LLC
Other name <Unavail>
Practice address 406 N STATE ST, Orem, UT, 84057
Phone 8014347670
Fax 8014347669
Enumeration date 2010-06-11
Last updated in NPPES 2026-05-15

Authorized official

Name Penny Gustafson
Title Manager
Phone 8017564021

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0004X Compounding Pharmacy Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 7686605-1703 UT

Other identifiers

Identifier Type State Issuer
2125523 Other PK
1881915957 Medicaid UT
Copy-ready billing details
Provider: Holladay Pharmaceutical LLC
NPI: 1881915957
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 406 N STATE ST, Orem, UT, 84057

Providers at this address

NPI Name Type Specialty Location
1215587464 Casey Allen Individual Pharmacotherapy Pharmacist Orem, UT

Verify this record

Cross-check NPI 1881915957 against the authoritative CMS record: view Holladay Pharmaceutical LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Holladay Pharmaceutical LLC?
NPPES lists Penny Gustafson (Manager) as the authorized official for this organization.
What is the NPI number for Holladay Pharmaceutical LLC?
The NPI for Holladay Pharmaceutical LLC is 1881915957, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-15.