NPI | 1275838575 |
---|---|
Doing Business As | SOUTH JORDAN DAYBREAK PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL KELLY Pharmacy Srv. Director 801-587-6325 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 7824017-1703) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2011-03-29 |