| NPI | 1588432587 |
|---|---|
| Doing Business As | INTERMOUNTAIN PHARMACY #377 |
| Entity Type | Organization |
| Authorized Contact | CARRIE DUNFORD Chief Pharmacy Officer & VP Clinica 801-284-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-06-11 |