| NPI | 1386689420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAMS Owner 435-884-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 61246091703) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-12-17 |