| NPI | 1679817779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT CLARK JOHNSON President 801-331-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 8455352-1704) |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-09-22 |