| NPI | 1396827077 |
|---|---|
| Doing Business As | PETERSON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY LYNN BAILEY President 801-479-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 132801-1703) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-02-19 |