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Organization
F CRAIG HAZEN INC
Active
Organization
F CRAIG HAZEN INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
F CRAIG HAZEN RPH (OWNER/PRESIDENT)
(801) 399-1151
Entity
Organization
Contact information
Practice address
2562 MONROE BLVD, OGDEN, UT 84401-2514
(801) 399-1151
(801) 399-1154
Mailing address
2562 MONROE BLVD, OGDEN, UT 84401-2514
(801) 399-1151
(801) 399-1154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
3272591703
UT
3336C0003X
Community/Retail Pharmacy
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600474
NCPDP #
UT
05
—
870282481003
—
UT
Enumeration date
08/02/2005
Last updated
03/07/2023
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