NPI | 1295829976 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN V WINTER Owner/Pharmacist 801-479-9645 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 7872230-8913) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 7572230-1703) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2010-05-03 |