The Market Pharmacy

LBN: Park City Market Inc
The Market Pharmacy is an health care organization with primary practice located at 1500 Snow Creek Dr , Park City UT 84060-7506. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Park City Market Inc can be contacted via phone (435) 645-7916, or through Holm, Michael via phone (435) 645-7139.

Contact Information

Primary practice address
1500 Snow Creek Dr Park City UT 84060-7506
Phone: (435) 645-7916
Fax: (435) 655-7019
Website:
Map and Directions
Authorized official contact:
Name: Holm, Michael RPH, MBA
Phone: (435) 645-7139

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 6957464-1703 Utah

Profile Details

NPI number 1083948210
LBN Legal business name Park City Market Inc
DBA Doing business as The Market Pharmacy
Authorized official Holm, Michael RPH, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2009
Last updated Mar 11th, 2013 - about 11 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 1083948210 NPPES
Other 4611706 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 870655253003 NCPDP PROVIDER IDENTIFICATION NUMBER

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