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Organization
LEES MARKETPLACE INC
Active
Organization
LEES MARKETPLACE INC
Active
Other names
Lee's Marketplace Richmond Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GRIMES RPH (DIRECTOR OF PHARMACY)
(435) 774-4150
Entity
Organization
Contact information
Practice address
185 N 200 W, RICHMOND, UT 84333-8433
(435) 774-4150
Mailing address
505 E 1400 N STE 110, LOGAN, UT 84341-2459
(435) 774-4150
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13090974-1703
STATE PHARMACY LICENSE
UT
Enumeration date
12/30/2022
Last updated
05/28/2024
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