| NPI | 1124084835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA C RANDALL Pharmacist In Charge 801-336-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: UT 592641704) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-03-07 |