Organization
MEDSOURCE RX PHARMACY LLC
Active
Other names
Medsource RX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAHILY PAOLINE (PIC)
(888) 702-2195
Entity
Organization
Contact information
Practice address
9883 S 500 W, SANDY, UT 84070-2561
(801) 727-1979
(855) 332-9272
Mailing address
9883 S 500 W, SANDY, UT 84070-2561
(801) 727-0080
(855) 332-9272
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7609917-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123919
PK
—
Enumeration date
03/16/2010
Last updated
10/11/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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