| NPI | 1174552848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEVEN ALLEN President 801-489-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 221250201703) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-03-26 |