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Contact Information

M AND M PRESCRIPTION SERVICES INC
11585 S STATE ST STE 103
DRAPER, UT84020-7403
 Phone: 801-890-0346
 Fax: 801-542-0491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for M AND M PRESCRIPTION SERVICES INC

NPI # 1114068079
LBN Legal business name M AND M PRESCRIPTION SERVICES INC
Authorized official KEVIN HAGEN - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 09/27/2013 - About 13 years ago
Identifiers
UT License # 86909741704
UT Medicaid 870264004021
Other 2107585 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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