| NPI | 1154674653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HIGLEY Director Of Pharmacy 801-855-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: UT 126650-1704) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |