| NPI | 1598766545 |
|---|---|
| Doing Business As | MEDICINE SHOPPE |
| Entity Type | Organization |
| Authorized Contact | F CRAIG HAZEN Owner/President 801-399-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: UT 3272591703) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-03-07 |