| NPI | 1295765204 |
|---|---|
| Doing Business As | KWIK STOP DRUG |
| Entity Type | Organization |
| Authorized Contact | TERRY VAN VLEET Owner And President 801-399-5866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 321208-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2010-10-05 |