NPI | 1649294075 |
---|---|
Doing Business As | IHC HEALTH CENTER PHARMACY NORTH OGDEN |
Entity Type | Organization |
Authorized Contact | NANNETTE BERENSEN Vice President Of Clinical Systems 801-284-1005 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 3596951703) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2018-07-19 |