Provider Demographics
NPI:1235628223
Name:MEDS IN MOTION, LLC
Entity Type:Organization
Organization Name:MEDS IN MOTION, LLC
Other - Org Name:MEDS IN MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REGULATORY AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:CORSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-297-0148
Mailing Address - Street 1:12101 S STATE ST
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84120
Mailing Address - Country:US
Mailing Address - Phone:801-506-6999
Mailing Address - Fax:801-590-7003
Practice Address - Street 1:12101 S STATE ST
Practice Address - Street 2:SUITE 101A
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84120
Practice Address - Country:US
Practice Address - Phone:801-506-6999
Practice Address - Fax:801-590-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
UT108001443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177442OtherPK