| NPI | 1013148071 |
|---|---|
| Doing Business As | SOUTH VALLEY COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BART SMITH Phamacist/Owner 801-676-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9436474-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2021-10-02 |