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Organization
ASSOCIATED FRESH MARKETS INC
Active
Organization
ASSOCIATED FRESH MARKETS INC
Active
Other names
Fresh Market Pharmacy #2365
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA HANSON PHARMD (DIRECTOR, PHARMACY OPERATIONS)
(801) 978-8309
Entity
Organization
Contact information
Practice address
1760 PARK AVE, PARK CITY, UT 84060-5125
(435) 649-6264
(435) 655-7176
Mailing address
PO BOX 26908, SALT LAKE CITY, UT 84126-0908
(801) 978-8225
(801) 978-8634
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7442340-1703
UT
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811221047
—
UT
01
—
2121834
PK
—
Enumeration date
09/21/2009
Last updated
09/24/2019
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