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NPI Code Detail

MEDICARE: DRAGONFLY HEALTH RX, INC.

MEDICARE: DRAGONFLY HEALTH RX, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336M0002XMail Order Pharmacy0000003745TN
23336L0003XLong Term Care Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12149650OTHERPK

General Provider Information

NPI Number : 1548371610
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAGONFLY HEALTH RX, INC.
Provider Business Mailing Address
First Line : 2525 HORIZON LAKE DR STE 101
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-8119
Country : US
Telephone Number : 901-248-3700
Fax Number : 901-248-3703
Provider Business Practice Location Address
First Line : 2525 HORIZON LAKE DR STE 101
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-8119
Country : US
Telephone Number : 901-248-3700
Fax Number : 901-248-3703
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : ELLIOT AMUNDSON
Credential :
Telephone Number : 612-723-6687
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/16/2026

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Directions to “DRAGONFLY HEALTH RX, INC. ” Practice Location

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