| NPI | 1215948708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS LEWIS President 801-373-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 1333221703) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |