| NPI | 1215034566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DURRANT Owner Pharmacist 435-563-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 146833-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 2774337-1703) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-09-29 |