Fresh Market Pharmacy #2388
LBN: Associated Fresh Markets Inc
Fresh Market Pharmacy #2388 is an health care organization with primary practice located at 5691 Harrison Blvd , South Ogden UT 84403-4322. 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) 479-0827, or through Hanson, Shawna via phone (801) 978-8309.
Contact Information
Primary practice address
5691 Harrison Blvd
South Ogden UT 84403-4322
Phone: (801) 479-0827
Fax: (801) 476-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7442355-1703 | Utah |
Profile Details
| NPI number | 1982938239 |
|---|---|
| LBN Legal business name | Associated Fresh Markets Inc |
| DBA Doing business as | Fresh Market Pharmacy #2388 |
| Authorized official | Hanson, Shawna PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982938239 | NPPES |
| Other | 2121994 | PK | |
| MEDICAID | 1982938239 | PK |
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