Healthcare Provider Details

I. General information

NPI: 1548371610
Provider Name (Legal Business Name): DRAGONFLY HEALTH RX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 HORIZON LAKE DR STE 101
MEMPHIS TN
38133-8119
US

IV. Provider business mailing address

2525 HORIZON LAKE DR STE 101
MEMPHIS TN
38133-8119
US

V. Phone/Fax

Practice location:
  • Phone: 901-248-3700
  • Fax: 901-248-3703
Mailing address:
  • Phone: 901-248-3700
  • Fax: 901-248-3703

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 Number0000003745
License Number StateTN

VIII. Authorized Official

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