# F CRAIG HAZEN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598766545
- **Authorized official:** F CRAIG HAZEN RPH (OWNER/PRESIDENT)
- **Authorized official phone:** (801) 399-1151

## Contact information

- **Practice address:** 2562 MONROE BLVD, OGDEN, UT 84401-2514
- **Practice address phone:** (801) 399-1151
- **Practice address fax:** (801) 399-1154
- **Mailing address:** 2562 MONROE BLVD, OGDEN, UT 84401-2514
- **Mailing address phone:** (801) 399-1151
- **Mailing address fax:** (801) 399-1154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 3272591703 | UT | — |
| 3336C0003X | Community/Retail Pharmacy | — | UT | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4600474 | NCPDP \# | UT |
| 05 | — | 870282481003 | — | UT |