Magellan Rx Pharmacy Llc
LBN: Magellan Rx Pharmacy Llc
Magellan Rx Pharmacy Llc is an health care organization with primary practice located at 2256 S 3600 W Ste A , Salt Lake City UT 84119-1124. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty.
Magellan Rx Pharmacy Llc can be contacted via phone (855) 271-4810, or through Bryner, Justin via phone (855) 271-4810.
Contact Information
Primary practice address
2256 S 3600 W Ste A
Salt Lake City UT 84119-1124
Phone: (855) 271-4810
Fax: (855) 271-4810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X | 10303032-1704 | Utah |
Profile Details
| NPI number | 1356790364 |
|---|---|
| LBN Legal business name | Magellan Rx Pharmacy Llc |
| DBA Doing business as | Magellan Rx Pharmacy Llc |
| Authorized official | Bryner, Justin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2016 |
| Last updated | May 26th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356790364 | NPPES |
| Other | 4613560 | NABP | |
| Other | 2162441 | NABP |
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