Provider Demographics
NPI:1619755436
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:ALLEN
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-401-4317
Mailing Address - Street 1:4227 S HIGHLAND DR STE 6
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2672
Mailing Address - Country:US
Mailing Address - Phone:877-401-4317
Mailing Address - Fax:801-553-2540
Practice Address - Street 1:4227 S HIGHLAND DR STE 6
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84124-2672
Practice Address - Country:US
Practice Address - Phone:877-401-4317
Practice Address - Fax:801-553-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy