| NPI | 1821286691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY Pharmacy Director 801-587-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: UT 5546220-1703) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-04-20 |