| NPI | 1023159985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT PRICE Pharmacy Manager 801-544-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 323612-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-05-16 |