Axiom Specialty Rx

LBN: Axiom Specialty Rx
Axiom Specialty Rx is an health care organization with primary practice located at 912 Baxter Dr Ste 130 , South Jordan UT 84095-5876. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Axiom Specialty Rx can be contacted via phone (801) 727-8106, or through Nixon, Tyler via phone (801) 727-8106.

Contact Information

Primary practice address
912 Baxter Dr Ste 130 South Jordan UT 84095-5876
Phone: (801) 727-8106
Fax: (801) 495-5923
Website:
Map and Directions
Authorized official contact:
Name: Nixon, Tyler
Phone: (801) 727-8106

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X 77895321704 Utah

Profile Details

NPI number 1568720704
LBN Legal business name Axiom Specialty Rx
DBA Doing business as Axiom Specialty Rx
Authorized official Nixon, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated Apr 25th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568720704 NPPES
Other 4612203 NCPDP PROVIDER IDENTIFICATION NUMBER

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