| NPI | 1386719656 |
|---|---|
| Doing Business As | INTERMOUNTAIN PHARMACY #11 |
| Other Name | INTERMOUNTAIN HEALTH BUTTE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARRIE DUNFORD Chief Pharmacy Officer 801-284-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1213) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2024-05-01 |