| NPI | 1467811562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL W JOHNSON Council Chairman 801-898-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: UT 8547079-1704) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |