| NPI | 1225568694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K RICHARDS Owner 801-915-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: UT 10386992-1704) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |