| NPI | 1952857856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE CROSLAND Pharmacy Clinical Services Manager 801-721-9246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: ID P7622) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |