| 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 |