| NPI | 1528525508 |
|---|---|
| Doing Business As | SKULL VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CIMA GHAFFARIAN Director 435-850-1825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |