NPI | 1588937395 |
---|---|
Doing Business As | MOUNTAIN CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | JARED STONG Owner 801-747-7191 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: ID 18014LS) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2012-02-10 |
Last Update Date | 2012-02-10 |