| NPI | 1720525124 |
|---|---|
| Other Name | INTERMOUNTAIN HEALTH GOOD SAMARITAN PHARMACY |
| Doing Business As | INTERMOUNTAIN PHARMACY #07 |
| Entity Type | Organization |
| Authorized Contact | DANIEL MADRID PIC, AO 303-689-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.1680000162) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2023-11-07 |