NPI 1467686758 · live from the CMS NPI Registry
Ez Rx INC
Pharmacy, Long Term Care Pharmacy in Bountiful, UT. National Provider Identifier 1467686758, active.
NPI record
| NPI | 1467686758 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 450 S 400 E, Ste 50, Bountiful, UT 84010 |
| Practice phone | 801-397-5900 |
| Mailing address | 450 S 400 E, Bountiful, UT 84010 |
| Enumerated | May 14, 2009 |
| Last updated | September 27, 2011 |
| Authorized official | R. David Grant, President |
| Other names | Ez Pass Rx |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Long Term Care Pharmacy primary | 3336L0003X | 7303454-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.