| NPI | 1871812370 |
|---|---|
| Doing Business As | MOUNTAINLANDS FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TODD BAILEY CEO 801-429-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 7630544-1703) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2025-03-27 |