# M AND M PRESCRIPTION SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M AND M PRESCRIPTION SERVICE INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114068079
- **Authorized official:** KEVIN HAGEN (PRES)
- **Authorized official phone:** (801) 252-9790

## Contact information

- **Practice address:** 11585 S STATE ST STE 103, DRAPER, UT 84020-7403
- **Practice address phone:** (801) 890-0346
- **Practice address fax:** (801) 542-0491
- **Mailing address:** PO BOX 901388, SANDY, UT 84090-1388
- **Mailing address phone:** (801) 252-9790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 86909741704 | UT | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 09/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2107585 | PK | — |
| 05 | — | 870264004021 | — | UT |