NPI | 1326487182 |
---|---|
Doing Business As | PANGUITCH DRUG |
Entity Type | Organization |
Authorized Contact | SAMUEL IAN MARSHALL Owner 435-590-8621 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 8715464-1703) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2013-06-14 |
Last Update Date | 2022-04-06 |