Ez Pass Rx

LBN: Ez Rx Inc
Ez Pass Rx is an health care organization with primary practice located at 450 S 400 E Ste 50, Bountiful UT 84010-4938. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ez Rx Inc can be contacted via phone (801) 397-5900, or through Grant, R. David via phone (801) 397-5900.

Contact Information

Primary practice address
450 S 400 E Ste 50 Bountiful UT 84010-4938
Phone: (801) 397-5900
Fax: (801) 397-5910
Website:
Map and Directions
Authorized official contact:
Name: Grant, R. David
Phone: (801) 397-5900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 7303454-1703 Utah

Profile Details

NPI number 1467686758
LBN Legal business name Ez Rx Inc
DBA Doing business as Ez Pass Rx
Authorized official Grant, R. David
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2009
Last updated Sep 27th, 2011 - 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 1467686758 NPPES
Other 4611263 NCPDP PROVIDER IDENTIFICATION NUMBER

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