Fresh Market Pharmacy #2378

LBN: Associated Fresh Markets Inc
Fresh Market Pharmacy #2378 is an health care organization with primary practice located at 135 E Main St , American Fork UT 84003-2407. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Associated Fresh Markets Inc can be contacted via phone (801) 756-2411, or through Hanson, Shawna via phone (801) 978-8309.

Contact Information

Primary practice address
135 E Main St American Fork UT 84003-2407
Phone: (801) 756-2411
Fax: (801) 756-6824
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Shawna PHARMD
Phone: (801) 978-8309

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7442349-1703 Utah

Profile Details

NPI number 1891028106
LBN Legal business name Associated Fresh Markets Inc
DBA Doing business as Fresh Market Pharmacy #2378
Authorized official Hanson, Shawna PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2009
Last updated Apr 5th, 2016 - about 8 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 1891028106 NPPES
Utah MEDICAID 1891028106
Utah Other 2121985

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