| NPI | 1235950346 |
|---|---|
| Doing Business As | DESERT CANYON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS C JACKMAN Owner 435-900-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-11-13 |