Organization
M AND M PRESCRIPTION SERVICES INC
Active
Other names
M AND M PRESCRIPTION SERVICE INC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HAGEN (PRES)
(801) 252-9790
Entity
Organization
Contact information
Practice address
11585 S STATE ST STE 103, DRAPER, UT 84020-7403
(801) 890-0346
(801) 542-0491
Mailing address
PO BOX 901388, SANDY, UT 84090-1388
(801) 252-9790
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
86909741704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107585
PK
—
05
—
870264004021
—
UT
Enumeration date
02/12/2007
Last updated
09/27/2013
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