| NPI | 1205929650 |
|---|---|
| Doing Business As | SAN JUAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DANA NIELSON Pharmacist 435-678-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 1271021703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2016-11-03 |