Axiom Specialty RX
Organization Active NPI Specialty Pharmacy · South Jordan, UT
NPI 1568720704 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1568720704
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialty Pharmacy 3336S0011X
- License
- 77895321704 (UT)
- Legal business name
- AXIOM SPECIALTY RX
- Practice address
- 912 Baxter Dr Ste 130
South Jordan, UT 84095-5876 - Phone
- (801) 727-8106
- Fax
- (801) 495-5923
- NPI assigned
- Apr 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Tyler Nixon
- Title
- Pharmacist
- Phone
- (801) 727-8106
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | 77895321704 | UT | Yes |
Addresses
Primary practice location
912 Baxter Dr Ste 130
South Jordan, UT 84095-5876
Mailing address
912 Baxter Dr Ste 130
South Jordan, UT 84095-5876
Phone (801) 727-8106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4612203 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Axiom Specialty RX
Other providers in South Jordan, UT
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All providers in South Jordan, UT · Specialty Pharmacy in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.