Organization
LEES MARKETPLACE INC
Active
Other names
Lee's Marketplace Richmond Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GRIMES RPH (DIRECTOR OF PHARMACY)
(435) 774-4150
Entity
Organization
Contact information
Practice address
185 N 200 W, RICHMOND, UT 84333-8433
(435) 774-4150
Mailing address
505 E 1400 N STE 110, LOGAN, UT 84341-2459
(435) 774-4150
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13090974-1703
STATE PHARMACY LICENSE
UT
Enumeration date
12/30/2022
Last updated
05/28/2024
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