| NPI | 1457380131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEVEN ALLEN President 801-224-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 831273501703) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |