# VRX PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VRx Pharmacy @ City Creek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194048918
- **Authorized official:** CAMERON DAWSON (PHARMACY MANAGER)
- **Authorized official phone:** (801) 236-8879

## Contact information

- **Practice address:** 50 E SOUTH TEMPLE STE 145, SALT LAKE CITY, UT 84111-1020
- **Practice address phone:** (801) 236-8879
- **Practice address fax:** (866) 655-3572
- **Mailing address:** 19 E 200 S FL 10, SALT LAKE CITY, UT 84111-1915
- **Mailing address phone:** (801) 236-8879
- **Mailing address fax:** (801) 326-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10168644-1703 | UT | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 03/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1194048918 | — | UT |
| 01 | — | 2124042 | PK | — |