| NPI | 1356601108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ANDERSON Compliance Officer 801-294-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: UT 5872299-1703) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |