NPI | 1487736161 |
---|---|
Doing Business As | CANYON VIEW PHARMACY |
Entity Type | Organization |
Authorized Contact | GARY LYNN BAILEY President 801-334-3190 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |