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 |