| NPI | 1255870564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT K WARREN President 801-361-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |