| NPI | 1457783201 |
|---|---|
| Doing Business As | SUPER VALUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SPECKMAN Managing Member 801-302-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 8736072-1703) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2013-08-05 |