# JLSCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEE'S MARKETPLACE - NORTH OGDEN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902934243
- **Authorized official:** SHARI BADGER (OWNER)
- **Authorized official phone:** (435) 774-4150

## Contact information

- **Practice address:** 2645 N WASHINGTON BLVD, NORTH OGDEN, UT 84414
- **Practice address phone:** (801) 782-6116
- **Practice address fax:** (801) 782-7222
- **Mailing address:** 505 E 1400 N STE 110, LOGAN, UT 84341-2459
- **Mailing address phone:** (435) 774-4150
- **Mailing address fax:** (435) 774-4166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 6909518-1703 | UT | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 04/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100308 | PK | — |
