| NPI | 1083716310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DALE LOVERIDGE Owner/Pharmacist 801-296-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 330257-1703) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2010-11-03 |