Provider Demographics
NPI:1447088463
Name:REXALL STERILE SOLUTIONS,LLC
Entity type:Organization
Organization Name:REXALL STERILE SOLUTIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:CHASE
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:801-735-7045
Mailing Address - Street 1:10 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2630
Mailing Address - Country:US
Mailing Address - Phone:801-785-3221
Mailing Address - Fax:801-796-3933
Practice Address - Street 1:360 S 100 E STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2708
Practice Address - Country:US
Practice Address - Phone:801-735-7045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy