Healthcare Provider Details
I. General information
NPI: 1447760228
Provider Name (Legal Business Name): MEDS IN MOTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2017
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 E 3900 S STE 1H
SALT LAKE CITY UT
84124-1300
US
IV. Provider business mailing address
380 W LAWNDALE DR
SALT LAKE CITY UT
84115-2915
US
V. Phone/Fax
- Phone: 801-270-0600
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
K
RICHARDS
Title or Position: OWNER
Credential:
Phone: 801-506-6999