| NPI | 1063853547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CHRISTINE HOLT President/Pharmacist 435-249-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-03-17 |