| NPI | 1225463169 |
|---|---|
| Doing Business As | INNOVATIVE RX LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELEE DEAN Managing Member 801-355-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9762264-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-12-08 |