NPI | 1366748238 |
---|---|
Doing Business As | MT. OLYMPUS COMPOUNDING |
Entity Type | Organization |
Authorized Contact | ANGIE KILPATRICK Manager, LLC 801-824-6968 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: UT 87645041703) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 87645041703) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2013-10-29 |