NPI | 1801529276 |
---|---|
Doing Business As | OQUIRRH MOUNTAIN PHARMACY WEST VALLEY |
Entity Type | Organization |
Authorized Contact | MICHELLE DENAE SPECKMAN Managing Member 801-252-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-07-05 |
Last Update Date | 2024-05-23 |