| NPI | 1528464336 |
|---|---|
| Doing Business As | WEST GORDON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID BURNETT Secretary 435-512-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 9221852-1703) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2019-12-03 |