NPI | 1720525124 |
---|---|
Other Name | INTERMOUNTAIN HEALTH GOOD SAMARITAN PHARMACY |
Doing Business As | INTERMOUNTAIN PHARMACY #07 |
Entity Type | Organization |
Authorized Contact | CARRIE DUNFORD Chief Pharmacy Officer & VP Clinica 801-284-1049 |
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 | 2024-06-24 |