# MEDERX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912307885
- **Authorized official:** ALAN BARKAN (PRESIDENT)
- **Authorized official phone:** (208) 938-5459

## Contact information

- **Practice address:** 922 W COLCHESTER DR, EAGLE, ID 83616-5892
- **Practice address phone:** (208) 938-5459
- **Mailing address:** PO BOX 2614, EAGLE, ID 83616-9121
- **Mailing address phone:** (805) 217-1952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 08/28/2014