| NPI | 1316042179 |
|---|---|
| Doing Business As | BASIN FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LUKE Owner 435-722-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 4905987-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-10 |