M And M Prescription Service Inc

LBN: M And M Prescription Services Inc
M And M Prescription Service Inc is an health care organization with primary practice located at 11585 S State St Ste 103 , Draper UT 84020-7403. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. M And M Prescription Services Inc can be contacted via phone (801) 890-0346, or through Hagen, Kevin via phone (801) 252-9790.

Contact Information

Primary practice address
11585 S State St Ste 103 Draper UT 84020-7403
Phone: (801) 890-0346
Fax: (801) 542-0491
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Kevin
Phone: (801) 252-9790

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 86909741704 Utah

Profile Details

NPI number 1114068079
LBN Legal business name M And M Prescription Services Inc
DBA Doing business as M And M Prescription Service Inc
Authorized official Hagen, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Sep 27th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114068079 NPPES
Other 2107585 PK
MEDICAID 870264004021 PK

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