NPI 1063736304
Medsource Rx Pharmacy LLC
Practice location
- Address
- 9883 S 500 W, Sandy, UT 84070-2561
- Phone
- (801) 727-1979
- Fax
- (855) 332-9272
Authorised official
- Name
- Sahily Paoline
- Title
- Pic
- Phone
- (888) 702-2195
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1063736304
- Entity type
- Organization
- NPI issued
- 16 Mar 2010
- Record last updated
- 11 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.