NPI | 1881915957 |
---|---|
Doing Business As | OREM FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | PENNY JO GUSTAFSON Manager 801-756-4021 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 7686605-1703) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2010-06-11 |
Last Update Date | 2023-05-23 |