MEDICARE: SPECTRUM SOLUTIONS RX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist
2	3336C0004X	Compounding Pharmacy

General Provider Information

NPI Number	:	1699427989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTRUM SOLUTIONS RX, LLC

Provider Business Mailing Address
First Line	:	12278 S LONE PEAK PKWY STE 106
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-6879
Country	:	US
Telephone Number	:	888-500-4711
Fax Number	:	385-855-1221

Provider Business Practice Location Address
First Line	:	12278 S LONE PEAK PKWY STE 106
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-6879
Country	:	US
Telephone Number	:	888-500-4711
Fax Number	:	385-855-1221

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	DR. ADRIENNE O MURRAY
Credential	:	PHARMD
Telephone Number	:	801-455-0623

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	04/17/2026

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