| NPI | 1811437569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LOOMIS CEO 801-652-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 10267872-1703) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |