| NPI | 1154640555 |
|---|---|
| Doing Business As | SCOTCH PINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WADE POULSON Owner 801-389-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-11-12 |