NPI | 1659786341 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN WILSON Pharmacist 801-521-4140 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 7960198-1701) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007741) |
Enumeration Date | 2014-06-22 |
Last Update Date | 2014-06-22 |