Medsource Rx Pharmacy

LBN: Medsource Rx Pharmacy Llc
Medsource Rx Pharmacy is an health care organization with primary practice located at 9883 S 500 W , Sandy UT 84070-2561. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medsource Rx Pharmacy Llc can be contacted via phone (801) 727-1979, or through Paoline, Sahily via phone (888) 702-2195.

Contact Information

Primary practice address
9883 S 500 W Sandy UT 84070-2561
Phone: (801) 727-1979
Fax: (855) 332-9272
Website:
Map and Directions
Authorized official contact:
Name: Paoline, Sahily
Phone: (888) 702-2195

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 7609917-1703 Utah

Profile Details

NPI number 1063736304
LBN Legal business name Medsource Rx Pharmacy Llc
DBA Doing business as Medsource Rx Pharmacy
Authorized official Paoline, Sahily
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2010
Last updated Oct 11th, 2013 - about 12 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 1063736304 NPPES
Other 2123919 PK

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