| NPI | 1730234287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT LEE CRANE Owner Pharmacist 801-489-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: UT 5829948-1703) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |