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Organization
PAYSON FOOD CORPORATION INC.
Active
Organization
PAYSON FOOD CORPORATION INC.
Active
Other names
PAYSON MARKET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD MEASOM PHARM.D (PHARMACY MANAGER)
(801) 465-2343
Entity
Organization
Contact information
Practice address
586 N MAIN ST, PAYSON, UT 84651-3428
(801) 465-2343
(801) 465-0856
Mailing address
586 N MAIN ST, PAYSON, UT 84651-3428
(801) 465-2343
(801) 465-0856
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
332540-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608521
NCPDP
UT
Enumeration date
06/22/2006
Last updated
01/27/2011
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