Provider Demographics
NPI:1255212924
Name:MEARS PHARMACY LLC
Entity type:Organization
Organization Name:MEARS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHON
Authorized Official - Middle Name:
Authorized Official - Last Name:MEARS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:801-447-9484
Mailing Address - Street 1:109 N COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9570
Mailing Address - Country:US
Mailing Address - Phone:801-829-3262
Mailing Address - Fax:801-829-3501
Practice Address - Street 1:109 N COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9570
Practice Address - Country:US
Practice Address - Phone:801-829-3262
Practice Address - Fax:801-829-3501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEARS PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy