NPI | 1902825854 |
---|---|
Doing Business As | CENTRAL VALLEY COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | BRENT DAVIS CFO 435-623-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 62330861703) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2016-12-20 |