| NPI | 1063651669 |
|---|---|
| Doing Business As | DUCHESNE VALLEY MEDICAL CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LONNIE ANDERSON Director Of Pharmacy 435-722-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 7263753-1703) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2012-06-19 |