Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medsource Rx Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1063736304

Medsource Rx Pharmacy LLC is a Community/Retail Pharmacy in Sandy, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9883 S 500 W
Sandy, UT 84070-2561
Phone: (801) 727-1979
Fax: (855) 332-9272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 7609917-1703 (UT)

Record details

NPI number1063736304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sahily Paoline — Pic · (888) 702-2195
Other names Medsource Rx Pharmacy
NPI enumeratedMarch 16, 2010
Last updated in NPPESOctober 11, 2013
Mailing address9883 S 500 W, Sandy, UT 84070-2561

Other providers in Sandy