NPI | 1124499553 |
---|---|
Doing Business As | STEWARTS BASIN FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | BRANDON LUKE Pharmacy Manager 435-722-2454 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9534004-1703) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2016-05-05 |