Organization
GRANGER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY RAMSAY (MANAGING PHARMACIST/OWNER)
(801) 599-6571
Entity
Organization
Contact information
Practice address
3725 W 4100 S, WEST VALLEY CITY, UT 84120-5530
(801) 965-3639
Mailing address
3725 W 4100 S, WEST VALLEY CITY, UT 84120
(801) 965-3639
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8505005-1703
UT
Other
Enumeration date
11/08/2012
Last updated
01/14/2013
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