| NPI | 1326589417 |
|---|---|
| Doing Business As | INTERMOUNTAIN PHARMACY #05 |
| Other Name | INTERMOUNTAIN ST. JOSEPH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARRIE DUNFORD Chief Pharmacy Officer And VP Clini 801-284-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2025-11-24 |