Innovative Rx Llc

LBN: Innovative Rx Llc
Innovative Rx Llc is an health care organization with primary practice located at 12176 S 1000 E Ste 2, Draper UT 84020-9734. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Innovative Rx Llc can be contacted via phone (801) 355-5176, or through Dean, Angelee via phone (801) 355-5176.

Contact Information

Primary practice address
12176 S 1000 E Ste 2 Draper UT 84020-9734
Phone: (801) 355-5176
Fax: (801) 606-7358
Website:
Map and Directions
Authorized official contact:
Name: Dean, Angelee
Phone: (801) 355-5176

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9762264-1703 Utah

Profile Details

NPI number 1225463169
LBN Legal business name Innovative Rx Llc
DBA Doing business as Innovative Rx Llc
Authorized official Dean, Angelee
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2013
Last updated Dec 8th, 2016 - about 9 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 1225463169 NPPES
Other 2159935 PK

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