Organization
EZ RX INC
Active
Other names
EZ PASS RX
Organization subpart
No
Provider details
NPI number
Authorized official
R. DAVID GRANT (PRESIDENT)
(801) 397-5900
Entity
Organization
Contact information
Practice address
450 S 400 E, STE 50, BOUNTIFUL, UT 84010-4938
(801) 397-5900
(801) 397-5910
Mailing address
450 S 400 E, BOUNTIFUL, UT 84010-4938
(801) 397-5900
(801) 397-5910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
7303454-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4611263
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/14/2009
Last updated
09/27/2011
Update your record
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