Healthcare Provider Details

I. General information

NPI: 1689773764
Provider Name (Legal Business Name): DRAGONFLY HEALTH RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 ELMWOOD AVE
SHARON HILL PA
19079-1014
US

IV. Provider business mailing address

512 ELMWOOD AVE
SHARON HILL PA
19079-1014
US

V. Phone/Fax

Practice location:
  • Phone: 877-882-7822
  • Fax: 267-514-6489
Mailing address:
  • Phone: 877-882-7822
  • Fax: 267-514-6489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberPP481494
License Number StatePA

VIII. Authorized Official

Name: ELLIOT AMUNDSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 612-723-6687