| NPI | 1821097221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TROY JOHNSON Principal Owner 801-489-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: UT 55310661704) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2025-09-11 |