Provider Demographics
NPI:1679386866
Name:VIBRIX PHARMACY, LLC
Entity type:Organization
Organization Name:VIBRIX PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:REX
Authorized Official - Last Name:BRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-702-3414
Mailing Address - Street 1:384 S 400 W STE 200
Mailing Address - Street 2:
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-1959
Mailing Address - Country:US
Mailing Address - Phone:801-770-0042
Mailing Address - Fax:801-770-0016
Practice Address - Street 1:384 S 400 W STE 200
Practice Address - Street 2:
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-1959
Practice Address - Country:US
Practice Address - Phone:801-770-0042
Practice Address - Fax:801-770-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy