Medsource RX Pharmacy LLC

Community/Retail Pharmacy · Sandy, UT

Organization Active NPI

NPI number 1063736304

Practice location

9883 S 500 W
Sandy, UT 84070-2561
Phone
(801) 727-1979
Fax
(855) 332-9272

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NPI record

NPI
1063736304
Entity type
Organization (Type 2)
Enumeration date
March 16, 2010
Last updated
October 11, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 7609917-1703 UT

Authorized official

Name
Sahily Paoline
Title
Pic
Phone
(888) 702-2195

Other names

  • Medsource RX Pharmacy

About Medsource RX Pharmacy LLC

Medsource RX Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 9883 S 500 W, Sandy, UT 84070-2561. The NPI number 1063736304 was assigned on March 16, 2010 and the record was last updated on October 11, 2013.

Medsource RX Pharmacy LLC lists a license in the registry: #7609917-1703 (UT) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Sahily Paoline, Pic.

Frequently asked questions

What is the NPI number of Medsource RX Pharmacy LLC?

The NPI number is 1063736304.

What is the phone number of Medsource RX Pharmacy LLC?

The phone number listed for the practice location is (801) 727-1979.

Where is Medsource RX Pharmacy LLC located?

9883 S 500 W, Sandy, UT 84070-2561.

What is the taxonomy code for Medsource RX Pharmacy LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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