| NPI | 1891283735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELISABETH COX PIC 801-716-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 10738486-1703) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |