NPI | 1639131907 |
---|---|
Doing Business As | CARBON MEDICAL SERVICE PHARMACY |
Entity Type | Organization |
Authorized Contact | VANESSA ANDERSON Credentialing 435-888-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2006-04-04 |
Last Update Date | 2024-08-14 |