| NPI | 1902031214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNIR M. MERCHANT Manager 801-518-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 73320411704) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2009-05-16 |