| NPI | 1568703650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV R SHARMA Owner 801-673-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 8529330-1703) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2014-03-26 |