| NPI | 1518046283 |
|---|---|
| Doing Business As | JOLLEYS SANDY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TROY JOHANSEN Manager 801-571-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: UT 62985071703) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-11-08 |