NPI | 1215300660 |
---|---|
Doing Business As | EPHRAIM MARKET FRESH PHARMACY |
Entity Type | Organization |
Authorized Contact | TYLER MERRILL President 435-851-0261 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9508481-1703) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2016-03-11 |