| NPI | 1750470340 |
|---|---|
| Doing Business As | RED BUTTE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY Phcy Director 801-587-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 58990601703) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-08-06 |