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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up