| NPI | 1336996602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GRIMES Director Of Pharmacy 435-774-4150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |