| NPI | 1962415810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JONES Director Of Pharmacy 801-957-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 4823728-1703) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-05-31 |