| NPI | 1093130031 |
|---|---|
| Doing Business As | INTERMOUNTAIN HOME DELIVERY PHARMACY |
| Doing Business As | INTERMOUNTAIN SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NANNETTE BERENSEN Vice President Of Clinical Systems 801-284-1005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2024-05-29 |