| NPI | 1093228645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AMMON Director Pharmacy Operations 801-254-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |