Provider Demographics
NPI:1417400797
Name:HRX PHARMACY LLC
Entity Type:Organization
Organization Name:HRX PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:801-898-7132
Mailing Address - Street 1:4227 S HIGHLAND DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2645
Mailing Address - Country:US
Mailing Address - Phone:801-553-3426
Mailing Address - Fax:801-553-2540
Practice Address - Street 1:4227 S HIGHLAND DR
Practice Address - Street 2:SUITE 6
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-2645
Practice Address - Country:US
Practice Address - Phone:801-553-3426
Practice Address - Fax:801-553-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9871861-17033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy