Organization
SEDONA GROCERY, LLC
Active
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
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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