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Organization
PARK CITY MARKET INC
Active
Organization
PARK CITY MARKET INC
Active
Other names
The Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOLM RPH, MBA (PRESIDENT)
(435) 645-7139
Entity
Organization
Contact information
Practice address
1500 SNOW CREEK DR, PARK CITY, UT 84060-7506
(435) 645-7916
(435) 655-7019
Mailing address
PO BOX 26417, SALT LAKE CITY, UT 84126-0417
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6957464-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4611706
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
870655253003
—
UT
Enumeration date
09/21/2009
Last updated
03/11/2013
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