NPI | 1093803215 |
---|---|
Doing Business As | FIVE STAR SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | BRYAN NICHOLS Owner 801-302-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 8184721-1704) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2014-07-02 |