| NPI | 1871506022 |
|---|---|
| Doing Business As | DBA WANGSGARD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HAL ROE Owner 801-399-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 5023506-1703) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 5023506-1703) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |