| NPI | 1265415327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA C RANDALL Chief Pharmacist 801-336-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 592641704) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-03-07 |