# ASSOCIATED FRESH MARKETS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fresh Market Pharmacy \#2377
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255664561
- **Authorized official:** SHAWNA HANSON PHARMD (DIRECTOR, PHARMACY OPERATIONS)
- **Authorized official phone:** (801) 978-8309

## Contact information

- **Practice address:** 910 N FAIRFIELD RD, LAYTON, UT 84041-2723
- **Practice address phone:** (801) 544-8512
- **Practice address fax:** (801) 544-8584
- **Mailing address:** PO BOX 26908, SALT LAKE CITY, UT 84126-0908
- **Mailing address phone:** (801) 978-8225
- **Mailing address fax:** (801) 978-8634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7442362-1703 | UT | Yes |

## Other

- **Enumeration date:** 09/18/2009
- **Last updated:** 09/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1255664561 | — | UT |
| 01 | — | 2121996 | PK | — |