| NPI | 1972665396 |
|---|---|
| Doing Business As | MOUNTAINWEST APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | JULIE SUZANNE LINDBERG Owner/Pharmacist 801-295-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: UT 5731786-1703) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-10-15 |