NPI | 1821014986 |
---|---|
Doing Business As | PIONEER VALLEY PHARMACY |
Entity Type | Organization |
Authorized Contact | WAN-JEN HORNG Pharmacy Manager 801-964-3935 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 5004123-1703) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2016-02-05 |