| NPI | 1124132113 |
|---|---|
| Doing Business As | PARK CITY PHCY AT THE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KRISTY BLACK Owner 435-658-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 60427351703) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |