| NPI | 1861212649 |
|---|---|
| Doing Business As | PURE RX |
| Entity Type | Organization |
| Authorized Contact | KASSANDRA COX Co Owner, Business Manager 801-228-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-17 |