| NPI | 1508973215 |
|---|---|
| Doing Business As | ALTA VIEW HOSPITAL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARRYL WAGNER Outpatient Pharmacy Manager 801-442-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 54204461703) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-02-28 |