Provider Demographics
NPI:1083763999
Name:VERIDICUSRX, LLC
Entity Type:Organization
Organization Name:VERIDICUSRX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-281-3221
Mailing Address - Street 1:1260 VINE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1700
Mailing Address - Country:US
Mailing Address - Phone:801-281-3221
Mailing Address - Fax:801-281-3217
Practice Address - Street 1:1260 VINE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-1700
Practice Address - Country:US
Practice Address - Phone:801-281-3221
Practice Address - Fax:801-281-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6398247333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy