| NPI | 1093875387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD N. OLPIN Pharmacy Manager 435-623-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 131246-1703) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2023-03-07 |