| NPI | 1427165117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANNETTE BERENSEN Vice President Of Clinical Systems 801-284-1005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 54116831703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-05-04 |