| NPI | 1942714639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LEWIS Chief Operating Officer 801-957-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 10501673) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2024-05-30 |