| NPI | 1649497538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J BAKER Owner And Manger 801-485-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: UT 5738405-1704) |
| Additional Taxonomies | 3336N0007X Pharmacy, Nuclear Pharmacy (Licence: UT 5738619-1710) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-03-27 |