Organization
MYTHIC RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA DEWITT PHARMD (PHARMACIST)
(801) 637-9967
Entity
Organization
Contact information
Practice address
3920 S 1100 E STE 110, MILLCREEK, UT 84124-1213
(801) 590-8345
(385) 327-0105
Mailing address
3920 S 1100 E STE 110, MILLCREEK, UT 84124-1213
(801) 590-8345
(385) 327-0105
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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