OrganizationActive
Mythic Rx
NPI 1184462368 · Compounding Pharmacy · Millcreek, UT
Provider details
- NPI number
- 1184462368
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sara Dewitt, Pharmacist(801) 637-9967
Specialties & taxonomies
Suppliers
Practice location
3920 S 1100 E Ste 110
Millcreek, UT 84124-1213
Phone: (801) 590-8345
Fax: (385) 327-0105
Approximate (ZIP-level) locationGet directions
Mailing address
3920 S 1100 E Ste 110
Millcreek, UT 84124-1213
Registry dates
- Enumerated
- 2024-07-19
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.