NPI | 1134876980 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA WALKER COO 801-599-8859 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2022-03-02 |
Last Update Date | 2024-03-01 |