Organization
IHC HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL V FONTAINE PHARM.D. (ADVANCED CLINICAL PHARMACIST)
(207) 212-9170
Entity
Organization
Contact information
Practice address
5121 S COTTONWOOD ST, DEPARTMENT OF PHARMACY, MURRAY, UT 84107
(207) 212-9170
Mailing address
5121 S COTTONWOOD ST, DEPARTMENT OF PHARMACY, MURRAY, UT 84107
(207) 212-9170
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
8327130-1701
UT
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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