| NPI | 1629515028 |
|---|---|
| Doing Business As | INTERMOUNTAIN PHARMACY #09 |
| Entity Type | Organization |
| Authorized Contact | CARRIE DUNFORD Chief Pharmacy Officer & VP Clinica 801-284-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2024-08-02 |