| NPI | 1750665840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JON THOMAS Staff Pharmacist 435-652-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 5199956) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2018-05-01 |