| NPI | 1790147833 |
|---|---|
| Doing Business As | MIDVALLEY SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLEE K HOWELL Pharmacy Business Operations Manage 801-587-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 97367431703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-03-16 |