| NPI | 1649936238 |
|---|---|
| Doing Business As | WILLOW CREEK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PETER MORRIS KEARNEY Owner 801-830-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-03-09 |