# EZ MED LLC

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

## Provider details

- **NPI number:** 1992098271
- **Authorized official:** MR. BRANDON ROBERTSON (PRESIDENT OF EZ MED LLC)
- **Authorized official phone:** (801) 856-8462

## Contact information

- **Practice address:** 450 S 400 E STE 70, BOUNTIFUL, UT 84010-4938
- **Practice address phone:** (801) 397-5900
- **Practice address fax:** (801) 397-5910
- **Mailing address:** 450 S 400 E STE 70, BOUNTIFUL, UT 84010-4938
- **Mailing address phone:** (801) 856-8462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 7303458-1704 | UT | Yes |

## Other

- **Enumeration date:** 05/19/2011
- **Last updated:** 05/19/2011
