| NPI | 1154795854 |
|---|---|
| Doing Business As | SELECT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROY PAYNE President 801-759-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 9633146-1704) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2017-02-07 |