| NPI | 1558852491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY BAILEY CFO 801-532-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: UT 9708978-1704) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2021-09-16 |