NPI | 1750687802 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE S MCFADDEN Owner 435-674-5667 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 10527986-1703) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 7884853-1703) | |
Enumeration Date | 2011-02-08 |
Last Update Date | 2018-03-17 |