| NPI | 1306124110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A JONES Owner 801-316-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 8029473-1704) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |