Fresh Market Pharmacy #2356

LBN: Associated Fresh Markets Inc
Fresh Market Pharmacy #2356 is an health care organization with primary practice located at 3945 Washington Blvd , Ogden UT 84403-1825. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Associated Fresh Markets Inc can be contacted via phone (801) 393-8680, or through Hanson, Shawna via phone (801) 978-8309.

Contact Information

Primary practice address
3945 Washington Blvd Ogden UT 84403-1825
Phone: (801) 393-8680
Fax: (801) 334-6563
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Shawna PHARMD
Phone: (801) 978-8309

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7442336-1703 Utah

Profile Details

NPI number 1497088108
LBN Legal business name Associated Fresh Markets Inc
DBA Doing business as Fresh Market Pharmacy #2356
Authorized official Hanson, Shawna PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2009
Last updated Sep 24th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497088108 NPPES
Other 4611528 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1497088108 NCPDP PROVIDER IDENTIFICATION NUMBER

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