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Holladay Pharmaceutical LLC

Community/Retail Pharmacy in Orem, UT · enumerated 2010 · authorized official Penny Gustafson, Manager.

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

National Provider Identifier

1881915957

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Holladay Pharmaceutical LLC
Other name <Unavail>
Practice address 406 N State St, Orem, UT, 84057
Fax (801) 434-7669
Enumeration date Jun 11, 2010
Last updated in NPPES May 15, 2026

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 7686605-1703 (UT) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Penny Gustafson
Title Manager

Other identifiers

Identifier Type State Issuer
2125523 Other - PK
1881915957 Medicaid UT -

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

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.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-15.