# EZ RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EZ PASS RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467686758
- **Authorized official:** R. DAVID GRANT (PRESIDENT)
- **Authorized official phone:** (801) 397-5900

## Contact information

- **Practice address:** 450 S 400 E, STE 50, BOUNTIFUL, UT 84010-4938
- **Practice address phone:** (801) 397-5900
- **Practice address fax:** (801) 397-5910
- **Mailing address:** 450 S 400 E, BOUNTIFUL, UT 84010-4938
- **Mailing address phone:** (801) 397-5900
- **Mailing address fax:** (801) 397-5910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 7303454-1703 | UT | Yes |

## Other

- **Enumeration date:** 05/14/2009
- **Last updated:** 09/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4611263 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |