| NPI | 1508649567 |
|---|---|
| Doing Business As | PHARMACY SOUTH SALT LAKE |
| Entity Type | Organization |
| Authorized Contact | SONJA M LEVESQUE CFO 801-334-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-01-30 |