| NPI | 1215639661 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH KING AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARRIE DUNFORD Chief Pharmacy Officer 801-284-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |