Organization
VRX PHARMACY LLC
Active
Other names
VRx Pharmacy @ City Creek
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON DAWSON (PHARMACY MANAGER)
(801) 236-8879
Entity
Organization
Contact information
Practice address
50 E SOUTH TEMPLE STE 145, SALT LAKE CITY, UT 84111-1020
(801) 236-8879
(866) 655-3572
Mailing address
19 E 200 S FL 10, SALT LAKE CITY, UT 84111-1915
(801) 236-8879
(801) 326-2004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10168644-1703
UT
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194048918
—
UT
01
—
2124042
PK
—
Enumeration date
03/08/2010
Last updated
03/13/2017
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