Wellformed AI

NPI 1992098271 · live from the CMS NPI Registry

Ez Med LLC

Pharmacy, Community/Retail Pharmacy in Bountiful, UT. National Provider Identifier 1992098271, active.

NPI record

NPI1992098271 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location450 S 400 E Ste 70, Bountiful, UT 84010
Practice phone801-397-5900
EnumeratedMay 19, 2011
Last updatedMay 19, 2011
Authorized officialBrandon Robertson, President Of Ez Med LLC

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy primary3336C0003X7303458-1704 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.