| NPI | 1558391441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHRISTENSEN Operations Manager 435-673-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 5683021-1703) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-12-18 |