MOUNTAINLANDS FAMILY PHARMACY - WASATCH

Federally Qualified Health Center (FQHC) · PROVO, UT

Organization Active NPI 1861815110

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Federally Qualified Health Center (FQHC)261QF0400X
Community/Retail Pharmacy3336C0003XUT

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

MOUNTAINLANDS FAMILY PHARMACY - WASATCH — NPI 1861815110