| NPI | 1578652160 |
|---|---|
| Doing Business As | SOUTH JORDAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLEE K HOWELL Pharmacy Business Operations Manage 801-587-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 81397451703) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-03-16 |