| NPI | 1205959335 |
|---|---|
| Doing Business As | MOUNTAIN CARE PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | JARED STONG Owner 801-747-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 7478838-1704) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-09-27 |