Healthcare Provider Details

I. General information

NPI: 1386409282
Provider Name (Legal Business Name): SIGNALRX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13648 S 200 W # 1
DRAPER UT
84020-2407
US

IV. Provider business mailing address

13648 S 200 W # 1
DRAPER UT
84020-2407
US

V. Phone/Fax

Practice location:
  • Phone: 888-861-3632
  • Fax: 866-859-4240
Mailing address:
  • Phone: 888-861-3632
  • Fax: 866-859-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KYLE OBORN
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 801-918-5790