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M AND M PRESCRIPTION SERVICES INC NPI 1114068079


NPI Information

NPI: 1114068079
Provider Name: M AND M PRESCRIPTION SERVICES INC

Doing Business As: M AND M PRESCRIPTION SERVICE INC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
11585 S STATE ST STE 103
DRAPER, UT
ZIP 84020
Phone: (801) 890-0346
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M AND M PRESCRIPTION SERVICES INC is a long term care pharmacy pharmacy in Draper, UT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. M AND M PRESCRIPTION SERVICES INC NPI is 1114068079. The provider is registered as an organization entity type.
The provider Is Doing Business As M And M Prescription Service Inc.

The provider's business location address is:

11585 S STATE ST STE 103
DRAPER, UT
ZIP 84020-403
Phone: (801) 890-0346
Fax: (801) 542-0491

The provider's authorized official is Kevin Hagen .
The authorized official title is Pres and has the following contact phone number (801) 252-9790.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 9/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy86909741704UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12107585OTHERPK
2870264004021MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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