| NPI | 1245459627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DUNN V.P. 801-839-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: UT 375923-1704) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 9680-07) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 375923-1704) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 375923-1704) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 375923-1704) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-08-14 |