| NPI | 1508119918 |
|---|---|
| Doing Business As | INTERMOUNTAIN HOME DELIVERY PHARMACY |
| Doing Business As | INTERMOUNTAIN SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NANNETTE MIGNON BERENSEN Chief Operating Officer 801-507-8002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: UT 8858671-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2024-05-29 |