NPI | 1376524280 |
---|---|
Doing Business As | PANGUITCH DRUG CO |
Entity Type | Organization |
Authorized Contact | STEVE MARSHALL Owner 435-676-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 3417951703) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2005-11-08 |
Last Update Date | 2011-02-24 |