NPI 1568720704 · live from the CMS NPI Registry
Axiom Specialty Rx
Pharmacy, Specialty Pharmacy in South Jordan, UT. National Provider Identifier 1568720704, active.
NPI record
| NPI | 1568720704 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Specialty Pharmacy 3336S0011X |
| Practice location | 912 Baxter Dr Ste 130, South Jordan, UT 84095 |
| Practice phone | 801-727-8106 |
| Enumerated | April 25, 2012 |
| Last updated | April 25, 2012 |
| Authorized official | Tyler Nixon, Pharmacist |
| Other names | Axiom Specialty Rx |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Specialty Pharmacy primary | 3336S0011X | 77895321704 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.