Organization
EZ MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON ROBERTSON (PRESIDENT OF EZ MED LLC)
(801) 856-8462
Entity
Organization
Contact information
Practice address
450 S 400 E STE 70, BOUNTIFUL, UT 84010-4938
(801) 397-5900
(801) 397-5910
Mailing address
450 S 400 E STE 70, BOUNTIFUL, UT 84010-4938
(801) 856-8462
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7303458-1704
UT
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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