Healthcare Provider Details

I. General information

NPI: 1386430338
Provider Name (Legal Business Name): RX.CO PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9151 S PROSPERITY RD STE 100
WEST JORDAN UT
84081-6169
US

IV. Provider business mailing address

9151 S PROSPERITY RD STE 100
WEST JORDAN UT
84081-6169
US

V. Phone/Fax

Practice location:
  • Phone: 801-414-8776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARK HEBERT
Title or Position: PHARMACY DIRECTOR
Credential: PHARMD
Phone: 801-414-8776