| NPI | 1194002774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD JOLLEY Pharmacist 801-982-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9691412-1701) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |