| NPI | 1013356112 |
|---|---|
| Doing Business As | MOUNTAIN CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JARED MEMMOTT Director Of Compliance 801-713-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 28722) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-10-26 |