| NPI | 1659301885 |
|---|---|
| Doing Business As | EDGEMONT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE CHAMBERLAIN Owner / R Ph 801-226-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 45500841703) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-07-19 |