| NPI | 1649697244 |
|---|---|
| Doing Business As | MT NEBO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HAROLD MEASOM Rx Supervisor 801-465-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 8963467-1703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2018-06-18 |