| NPI | 1417400797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY WALKER Pharmacist 801-898-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9871861-1703) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-09-20 |