| NPI | 1043993595 |
|---|---|
| Doing Business As | MOUNTAINLANDS PHARMACY - PAYSON |
| Entity Type | Organization |
| Authorized Contact | TODD BAILEY Executive Director 801-855-0155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |