Organization
SEDONA GROCERY, LLC
Active
Other names
Clark's Market Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JEFFREY FRANKLIN PHARMD (PHARMACIST IN CHARGE)
(928) 284-2202
Entity
Organization
Contact information
Practice address
100 VERDE VALLEY SCHOOL RD, SEDONA, AZ 86351
(928) 284-2202
(928) 284-3776
Mailing address
818 S. MAIN STREET, BLANDING, UT 84511
(970) 925-5295
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
2914
AZ
3336C0003X
Community/Retail Pharmacy
Primary
Y007278
AZ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420852
—
AZ
Enumeration date
08/22/2006
Last updated
11/17/2020
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