| NPI | 1578805172 |
|---|---|
| Doing Business As | MOUNTAIN CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DALE ALLRED VP Operations 801-747-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 28433) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-09-20 |