| NPI | 1710329958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BAILEY Executive Director 801-429-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 183500000X Pharmacist |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-03-25 |