Provider Demographics
NPI:1841687126
Name:INTRAFILRX LLC
Entity type:Organization
Organization Name:INTRAFILRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCHESNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-815-8019
Mailing Address - Street 1:3920 S 1100 E STE 140
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1270
Mailing Address - Country:US
Mailing Address - Phone:801-815-8013
Mailing Address - Fax:
Practice Address - Street 1:3920 S 1100 E STE 140
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1270
Practice Address - Country:US
Practice Address - Phone:801-590-8345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
305R00000X
UT9451461-17043336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No305R00000XManaged Care OrganizationsPreferred Provider Organization